| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $5,495.41 | $5,888.44 | |
Aetna
| Professional | $4,786.30 | $4,786.30 | $4,786.30 | |
BCBS
| Facility | $0.02 | $0.03 | $0.06 | |
Health Alliance Plan
| Facility | $3,235.94 | $5,495.41 | $8,128.31 | |
Health Alliance Plan
| Professional | $4,786.30 | $4,786.30 | $4,786.30 |