| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $867.36 | $2,271.77 | $5,757.00 | |
BCBS
| Facility | $4,806.37 | $6,490.16 | $15,241.27 | |
CareSource
| Facility | $644.88 | $807.71 | $969.26 | |
Health Alliance Plan
| Facility | $696.18 | $2,410.42 | $5,757.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |