| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $4,897.79 | $15,135.61 | |
Aetna
| Professional | $724.44 | $4,265.80 | $8,128.31 | |
Health Alliance Plan
| Facility | $2,041.74 | $4,897.79 | $9,772.37 | |
Health Alliance Plan
| Professional | $2,754.23 | $3,090.30 | $4,466.84 | |
United
| Facility | $186.21 | $794.33 | $1,737.80 |