| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,886.39 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $6,732.26 | $7,901.69 | $10,705.53 | |
Health Alliance Plan
| Facility | $1,491.18 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,561.00 | $8,995.00 | $12,767.00 |