| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,620.49 | $4,933.00 | $5,208.64 | |
BCBS
| Facility | $5,680.13 | $6,620.40 | $8,969.58 | |
Health Alliance Plan
| Facility | $1,242.49 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |