| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $979.00 | $4,933.00 | |
BCBS
| Facility | $37,802.67 | $44,369.22 | $60,113.24 | |
CareSource
| Facility | $373.22 | $485.18 | $582.21 | |
Health Alliance Plan
| Facility | $0.90 | $979.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,449.00 |