| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,158.99 | $4,933.00 | $16,597.38 | |
BCBS
| Facility | $8,930.94 | $10,482.29 | $14,201.85 | |
Health Alliance Plan
| Facility | $920.97 | $4,933.00 | $17,977.68 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |