| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,432.86 | $4,684.05 | $28,919.38 | |
BCBS
| Facility | $25,083.49 | $29,440.64 | $39,887.39 | |
CareSource
| Facility | $1,732.71 | $2,228.15 | $2,673.78 | |
Health Alliance Plan
| Facility | $1,988.53 | $4,933.00 | $40,010.19 | |
United
| Facility | $6,438.00 | $11,732.00 | $15,000.00 |