| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,189.32 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $9,808.37 | $11,449.33 | $15,597.14 | |
Health Alliance Plan
| Facility | $950.31 | $2,877.00 | $4,933.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |