| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,132.17 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $6,128.09 | $9,060.40 | $12,508.77 | |
Health Alliance Plan
| Facility | $1,746.46 | $4,112.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |