| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,518.52 | $6,952.22 | $12,939.00 | |
BCBS
| Facility | $5,070.16 | $7,496.25 | $10,048.51 | |
CareSource
| Facility | $575.28 | $719.10 | $881.03 | |
Health Alliance Plan
| Facility | $1,027.59 | $6,319.68 | $13,319.52 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |