| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,050.12 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,874.60 | $8,685.62 | $11,991.35 | |
Health Alliance Plan
| Facility | $1,667.02 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |