| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,706.91 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $6,143.79 | $7,160.80 | $9,701.75 | |
Health Alliance Plan
| Facility | $1,449.49 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |