| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,070.40 | $4,112.00 | $16,204.65 | |
BCBS
| Facility | $7,661.54 | $8,992.40 | $12,183.27 | |
Health Alliance Plan
| Facility | $857.22 | $4,933.00 | $16,204.65 | |
United
| Facility | $4,561.00 | $9,143.00 | $12,767.00 |