| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,608.39 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $10,708.29 | $12,568.39 | $17,028.16 | |
Health Alliance Plan
| Facility | $1,340.75 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,635.00 | $11,152.00 | $20,268.00 |