| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $5,754.40 | $16,595.87 | |
BCBS
| Facility | $251.19 | $933.25 | $1,479.11 | |
Health Alliance Plan
| Facility | $2,570.40 | $4,897.79 | $8,128.31 | |
United
| Facility | $3,311.31 | $6,606.93 | $12,302.69 |