| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,010.27 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $6,084.25 | $9,143.52 | $21,924.45 | |
Health Alliance Plan
| Facility | $816.67 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |