| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,532.90 | $4,933.00 | $15,484.15 | |
BCBS
| Facility | $14,417.41 | $16,829.47 | $22,926.36 | |
Health Alliance Plan
| Facility | $1,239.26 | $4,933.00 | $15,484.15 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |