| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.48 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $7,982.93 | $9,369.62 | $12,694.34 | |
Health Alliance Plan
| Facility | $1,614.63 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,635.00 | $11,152.00 | $20,268.00 |