| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,769.97 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $10,292.00 | $12,013.87 | $16,366.19 | |
Health Alliance Plan
| Facility | $2,225.32 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |