| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.01 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,132.35 | $1,321.81 | $1,800.67 | |
CareSource
| Facility | $226.35 | $305.57 | $336.19 | |
Health Alliance Plan
| Facility | $259.98 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |