| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $4,897.79 | $12,589.25 | |
BCBS
| Facility | $933.25 | $933.25 | $933.25 | |
Health Alliance Plan
| Facility | $1,318.26 | $4,073.80 | $12,589.25 | |
United
| Facility | $5,495.41 | $9,120.11 | $16,595.87 |