| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,454.15 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $5,900.90 | $6,925.92 | $9,383.53 | |
Health Alliance Plan
| Facility | $1,212.57 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |