| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,264.72 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $4,897.09 | $5,716.38 | $7,787.28 | |
CareSource
| Facility | $1,031.61 | $1,392.69 | $1,532.23 | |
Health Alliance Plan
| Facility | $1,580.94 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |