| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $883.87 | $5,757.00 | $15,894.23 | |
BCBS
| Facility | $6,277.92 | $8,536.65 | $20,047.18 | |
CareSource
| Facility | $676.70 | $913.55 | $1,005.07 | |
Health Alliance Plan
| Facility | $883.87 | $5,683.18 | $16,566.47 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |