| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,179.91 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,200.40 | $2,568.53 | $3,499.05 | |
Health Alliance Plan
| Facility | $903.68 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |