| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,481.11 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,266.22 | $6,307.61 | $8,708.27 | |
Health Alliance Plan
| Facility | $1,231.45 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,418.58 | $3,869.00 | $5,525.00 |