| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,878.84 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $10,491.95 | $12,228.73 | $16,567.99 | |
Health Alliance Plan
| Facility | $2,396.02 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,820.00 | $4,056.00 | $6,036.00 |