| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,487.53 | $6,101.56 | $10,628.49 | |
BCBS
| Facility | $11,407.03 | $13,388.50 | $18,139.30 | |
CareSource
| Facility | $1,060.95 | $1,358.29 | $1,629.95 | |
Health Alliance Plan
| Facility | $1,432.44 | $5,757.00 | $15,330.07 | |
United
| Facility | $4,635.00 | $11,152.00 | $20,268.00 |