| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.40 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,193.54 | $6,053.26 | $8,201.20 | |
Health Alliance Plan
| Facility | $1,181.41 | $4,933.00 | $4,933.00 | |
United
| Facility | $6,850.00 | $11,550.00 | $14,085.00 |