| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,543.16 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $5,702.40 | $6,656.42 | $9,067.87 | |
Health Alliance Plan
| Facility | $1,228.33 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |