| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,441.24 | $1,767.92 | $4,933.00 | |
BCBS
| Facility | $4,152.91 | $4,874.30 | $6,603.90 | |
Health Alliance Plan
| Facility | $1,456.23 | $1,767.92 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |