| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,284.11 | $2,490.55 | $4,933.00 | |
BCBS
| Facility | $19,246.38 | $22,589.59 | $30,605.31 | |
Health Alliance Plan
| Facility | $1,914.29 | $2,414.65 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |