| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $5,754.40 | $32,359.37 | |
BCBS
| Facility | $371.54 | $371.54 | $1,148.15 | |
Health Alliance Plan
| Facility | $1,659.59 | $5,754.40 | $29,512.09 | |
United
| Facility | $5,011.87 | $10,000.00 | $21,379.62 |