| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,178.45 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,548.91 | $5,309.95 | $7,233.61 | |
Health Alliance Plan
| Facility | $1,035.15 | $4,933.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |