| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,775.30 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,977.51 | $11,629.13 | $15,755.63 | |
Health Alliance Plan
| Facility | $2,292.04 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,820.00 | $3,869.00 | $6,327.00 |