| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,484.98 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,920.50 | $10,405.46 | $14,639.73 | |
CareSource
| Facility | $1,758.67 | $2,374.19 | $2,612.08 | |
Health Alliance Plan
| Facility | $2,080.17 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |