| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,899.12 | $10,855.99 | $26,533.15 | |
BCBS
| Facility | $11,939.12 | $13,936.56 | $18,985.41 | |
CareSource
| Facility | $1,154.46 | $1,558.52 | $1,714.67 | |
Health Alliance Plan
| Facility | $1,507.24 | $7,800.09 | $30,097.29 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |