| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.25 | $393.50 | $2,513.78 | |
BCBS
| Facility | $300.16 | $408.15 | $958.49 | |
CareSource
| Facility | $135.13 | $182.44 | $200.73 | |
Health Alliance Plan
| Facility | $182.24 | $718.73 | $4,933.00 | |
United
| Facility | $464.00 | $1,247.00 | $1,844.00 |