| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,127.54 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,827.19 | $9,136.68 | $12,446.67 | |
Health Alliance Plan
| Facility | $1,797.84 | $4,933.00 | $4,933.00 | |
United
| Facility | $6,850.00 | $11,550.00 | $14,085.00 |