| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.30 | $4,643.00 | $15,133.18 | |
BCBS
| Facility | $6,721.32 | $7,888.86 | $10,688.15 | |
CareSource
| Facility | $708.66 | $888.76 | $1,066.52 | |
Health Alliance Plan
| Facility | $919.24 | $4,484.24 | $13,811.48 | |
United
| Facility | $4,069.00 | $8,702.00 | $10,652.00 |