| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,063.04 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $14,261.72 | $16,647.73 | $22,678.78 | |
Health Alliance Plan
| Facility | $3,266.70 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |