| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,206.54 | $4,933.00 | $9,594.00 | |
BCBS
| Facility | $10,221.59 | $11,931.68 | $16,254.23 | |
CareSource
| Facility | $965.93 | $1,304.01 | $1,434.66 | |
Health Alliance Plan
| Facility | $1,046.95 | $4,933.00 | $6,906.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |