| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,297.28 | $7,344.97 | $18,992.56 | |
BCBS
| Facility | $8,904.12 | $12,023.45 | $28,235.48 | |
CareSource
| Facility | $924.18 | $1,163.44 | $1,396.13 | |
Health Alliance Plan
| Facility | $1,297.28 | $8,219.53 | $23,692.00 | |
United
| Facility | $4,561.00 | $9,143.00 | $12,767.00 |