| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,278.30 | $2,096.46 | $12,343.69 | |
BCBS
| Facility | $29,839.69 | $35,023.03 | $47,450.64 | |
CareSource
| Facility | $5,075.00 | $5,075.00 | $5,075.00 | |
Health Alliance Plan
| Facility | $1,006.32 | $4,933.00 | $8,060.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $14,705.00 |