| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,106.64 | $4,933.00 | $11,626.78 | |
BCBS
| Facility | $5,082.34 | $5,965.18 | $8,081.87 | |
CareSource
| Facility | $762.24 | $952.90 | $1,143.35 | |
Health Alliance Plan
| Facility | $842.32 | $4,768.50 | $8,060.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |