| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.88 | $347.76 | $4,933.00 | |
BCBS
| Facility | $1,121.08 | $1,315.82 | $1,782.73 | |
CareSource
| Facility | $246.61 | $320.58 | $384.74 | |
Health Alliance Plan
| Facility | $279.60 | $438.17 | $4,933.00 | |
United
| Facility | $300.00 | $1,685.00 | $20,268.00 |