| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $965.32 | $2,056.00 | $6,175.51 | |
BCBS
| Facility | $2,508.13 | $2,927.74 | $3,988.39 | |
CareSource
| Facility | $763.53 | $1,030.77 | $1,134.04 | |
Health Alliance Plan
| Facility | $1,206.16 | $2,056.00 | $6,003.79 | |
United
| Facility | $2,248.00 | $5,202.00 | $7,355.00 |