| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,623.66 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $13,158.66 | $15,360.13 | $20,924.71 | |
Health Alliance Plan
| Facility | $3,036.09 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |