| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,294.05 | $3,104.43 | $19,442.00 | |
BCBS
| Facility | $37,945.87 | $44,537.31 | $60,340.97 | |
CareSource
| Facility | $1,628.95 | $2,098.78 | $2,518.53 | |
Health Alliance Plan
| Facility | $1,861.06 | $3,817.97 | $18,523.43 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |