| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $1,819.70 | $2,691.53 | $2,691.53 | |
CareSource
| Facility | $6,456.54 | $6,456.54 | $6,456.54 | |
Health Alliance Plan
| Facility | $1,584.89 | $4,897.79 | $6,918.31 | |
United
| Facility | $7,585.78 | $12,022.64 | $28,183.83 |