| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,974.81 | $4,933.00 | $11,020.68 | |
BCBS
| Facility | $32,152.60 | $37,737.69 | $51,128.59 | |
CareSource
| Facility | $1,457.51 | $1,867.65 | $2,241.17 | |
Health Alliance Plan
| Facility | $1,631.11 | $4,933.00 | $6,906.00 | |
United
| Facility | $5,356.00 | $11,464.00 | $15,000.00 |