| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,434.00 | $2,209.89 | $8,241.00 | |
BCBS
| Facility | $22,270.62 | $22,270.62 | $26,724.74 | |
CareSource
| Facility | $2,165.89 | $2,349.65 | $6,876.38 | |
United
| Facility | $3,233.00 | $8,101.00 | $15,899.00 |