| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,422.23 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $7,104.42 | $9,626.39 | $14,904.60 | |
Health Alliance Plan
| Facility | $1,985.73 | $4,933.00 | $6,853.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |