| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $4,897.79 | $10,000.00 | |
BCBS
| Facility | $446.68 | $1,621.81 | $1,621.81 | |
Health Alliance Plan
| Facility | $1,819.70 | $4,897.79 | $10,000.00 | |
United
| Facility | $1,445.44 | $6,760.83 | $17,378.01 |