| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,800.00 | $2,800.00 | $3,000.00 | |
BCBS
| Facility | $9,807.18 | $11,447.93 | $15,595.23 | |
CareSource
| Facility | $2,292.05 | $3,094.27 | $3,404.29 | |
Health Alliance Plan
| Facility | $2,757.83 | $2,757.83 | $2,800.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |