| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $4,897.79 | $16,218.10 | |
BCBS
| Facility | $208.93 | $758.58 | $1,202.26 | |
Health Alliance Plan
| Facility | $1,000.00 | $2,884.03 | $4,897.79 | |
United
| Facility | $2,511.89 | $5,248.07 | $14,791.08 |