| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.11 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,720.81 | $4,343.30 | $5,916.77 | |
Health Alliance Plan
| Facility | $843.12 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |