| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,393.82 | $4,933.00 | $22,651.11 | |
BCBS
| Facility | $7,215.46 | $10,668.08 | $14,728.33 | |
Health Alliance Plan
| Facility | $1,133.78 | $4,933.00 | $11,004.27 | |
United
| Facility | $5,000.00 | $10,402.00 | $19,376.00 |