| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,289.87 | $8,241.00 | |
BCBS
| Facility | $13,270.34 | $13,270.34 | $15,924.41 | |
CareSource
| Facility | $2,036.19 | $2,207.46 | $6,346.80 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |