| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $942.76 | $1,027.97 | $7,275.29 | |
BCBS
| Facility | $3,484.89 | $4,090.23 | $5,541.62 | |
CareSource
| Facility | $691.88 | $899.36 | $1,079.24 | |
Health Alliance Plan
| Facility | $810.05 | $1,233.56 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |