| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,307.40 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,480.04 | $9,883.79 | $13,390.98 | |
Health Alliance Plan
| Facility | $1,995.67 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |