| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,019.30 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $3,621.57 | $4,250.66 | $5,758.97 | |
CareSource
| Facility | $718.03 | $930.55 | $1,116.66 | |
Health Alliance Plan
| Facility | $830.67 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |