| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,085.63 | $1,094.76 | $1,094.76 | |
BCBS
| Facility | $4,324.39 | $5,047.88 | $6,876.60 | |
CareSource
| Facility | $867.00 | $1,170.45 | $1,287.72 | |
Health Alliance Plan
| Facility | $1,094.76 | $1,516.42 | $1,516.42 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |