| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,136.27 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $39,060.54 | $45,595.42 | $62,113.49 | |
Health Alliance Plan
| Facility | $907.05 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,982.00 | $11,869.00 | $25,069.00 |