| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,391.03 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $12,237.82 | $14,363.61 | $19,460.41 | |
Health Alliance Plan
| Facility | $2,818.81 | $3,391.03 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,327.00 |