| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.99 | $6,853.00 | $56,952.28 | |
BCBS
| Facility | $49,532.17 | $67,706.12 | $156,135.71 | |
Health Alliance Plan
| Facility | $973.50 | $6,853.00 | $56,952.28 | |
United
| Facility | $9,552.00 | $24,659.00 | $55,239.00 |