| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.45 | $3,210.96 | $4,933.00 | |
BCBS
| Facility | $1,743.80 | $2,578.21 | $3,456.02 | |
CareSource
| Facility | $181.35 | $227.15 | $274.74 | |
Health Alliance Plan
| Facility | $558.15 | $3,210.96 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |