| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.95 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,700.15 | $4,316.10 | $6,072.43 | |
Health Alliance Plan
| Facility | $848.74 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |