| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,291.78 | $2,387.26 | $4,933.00 | |
BCBS
| Facility | $8,784.79 | $10,238.98 | $13,872.19 | |
Health Alliance Plan
| Facility | $1,927.55 | $2,387.26 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |