| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,186.27 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,915.25 | $17,616.73 | $23,614.73 | |
Health Alliance Plan
| Facility | $3,381.66 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |