| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,633.93 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $7,467.79 | $11,041.15 | $14,800.35 | |
Health Alliance Plan
| Facility | $2,117.81 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |