| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $459.00 | $1,756.64 | $7,811.15 | |
BCBS
| Facility | $3,148.17 | $4,654.57 | $6,426.09 | |
CareSource
| Facility | $338.69 | $423.62 | $511.64 | |
Health Alliance Plan
| Facility | $533.99 | $3,010.01 | $15,614.59 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |