| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $583.37 | $4,112.00 | $11,436.28 | |
BCBS
| Facility | $4,613.74 | $6,821.43 | $9,143.94 | |
CareSource
| Facility | $429.71 | $537.50 | $649.28 | |
Health Alliance Plan
| Facility | $583.37 | $4,112.00 | $11,436.28 | |
United
| Facility | $1,450.00 | $5,574.00 | $7,355.00 |