| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $380.19 | $1,905.46 | $1,905.46 | |
Health Alliance Plan
| Facility | $1,698.24 | $4,897.79 | $5,754.40 | |
United
| Facility | $5,011.87 | $10,000.00 | $19,054.61 |