| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $9,772.37 | $23,988.33 | |
BCBS
| Facility | $363.08 | $1,819.70 | $1,819.70 | |
Health Alliance Plan
| Facility | $1,584.89 | $9,772.37 | $23,988.33 | |
United
| Facility | $5,011.87 | $10,000.00 | $21,379.62 |