| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,171.19 | $2,333.00 | $9,477.00 | |
BCBS
| Facility | $2,518.88 | $2,518.88 | $3,022.66 | |
CareSource
| Facility | $1,466.18 | $1,466.18 | $1,466.18 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,652.00 |