| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $3,090.30 | $4,897.79 | |
Aetna
| Professional | $354.81 | $1,737.80 | $6,456.54 | |
Health Alliance Plan
| Facility | $588.84 | $2,041.74 | $4,897.79 | |
Health Alliance Plan
| Professional | $234.42 | $275.42 | $363.08 | |
United
| Facility | $186.21 | $794.33 | $1,737.80 |