| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $7,585.78 | $30,902.95 | |
BCBS
| Facility | $2,691.53 | $2,691.53 | $2,691.53 | |
Health Alliance Plan
| Facility | $1,621.81 | $6,918.31 | $28,183.83 | |
United
| Facility | $10,471.29 | $20,417.38 | $66,069.34 |