| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,151.98 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $7,817.42 | $9,125.29 | $12,431.15 | |
Health Alliance Plan
| Facility | $1,731.64 | $4,933.00 | $6,853.00 | |
United
| Facility | $3,412.00 | $5,819.00 | $8,339.00 |