| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $6,918.31 | $11,748.98 | |
BCBS
| Facility | $1,862.09 | $2,754.23 | $2,754.23 | |
Health Alliance Plan
| Facility | $1,737.80 | $4,897.79 | $9,549.93 | |
United
| Facility | $3,162.28 | $7,079.46 | $10,964.78 |