| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,658.42 | $4,933.00 | $9,676.26 | |
BCBS
| Facility | $4,744.04 | $7,014.08 | $9,683.62 | |
Health Alliance Plan
| Facility | $1,359.33 | $4,933.00 | $9,676.26 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |