| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $514.16 | $1,552.23 | $3,939.67 | |
BCBS
| Facility | $44,214.15 | $51,894.42 | $70,308.69 | |
CareSource
| Facility | $378.04 | $491.45 | $590.10 | |
Health Alliance Plan
| Facility | $427.47 | $1,552.23 | $4,933.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $12,500.00 |