| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $962.69 | $5,483.00 | $10,521.45 | |
BCBS
| Facility | $6,067.08 | $7,082.11 | $9,647.78 | |
CareSource
| Facility | $703.55 | $949.79 | $1,044.96 | |
Health Alliance Plan
| Facility | $916.85 | $5,757.00 | $10,521.45 | |
United
| Facility | $4,750.00 | $8,847.00 | $10,652.00 |