| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,639.00 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $6,199.62 | $7,276.53 | $9,858.54 | |
Health Alliance Plan
| Facility | $1,328.48 | $4,933.00 | $5,757.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |