| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,527.15 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $5,609.70 | $6,584.14 | $8,920.45 | |
Health Alliance Plan
| Facility | $1,238.74 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |