| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $1,737.80 | $4,168.69 | $4,168.69 | |
Health Alliance Plan
| Facility | $1,949.84 | $4,897.79 | $6,918.31 | |
United
| Facility | $1,548.82 | $7,079.46 | $12,882.50 |