| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,800.00 | $2,800.00 | $3,000.00 | |
BCBS
| Facility | $10,962.15 | $12,776.77 | $17,310.49 | |
CareSource
| Facility | $2,550.35 | $3,442.97 | $3,787.93 | |
Health Alliance Plan
| Facility | $2,800.00 | $3,092.83 | $3,092.83 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |