| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $917.83 | $4,112.00 | $10,544.36 | |
BCBS
| Facility | $6,078.18 | $8,207.50 | $19,274.24 | |
CareSource
| Facility | $656.19 | $823.89 | $988.67 | |
Health Alliance Plan
| Facility | $917.83 | $4,694.70 | $10,498.92 | |
United
| Facility | $2,500.00 | $6,978.00 | $9,202.00 |