| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.51 | $404.51 | $525.73 | |
BCBS
| Facility | $590.60 | $590.60 | $590.60 | |
CareSource
| Facility | $375.65 | $471.33 | $609.11 | |
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
Health Alliance Plan
| Facility | $387.98 | $387.98 | $509.16 | |
United
| Facility | $857.82 | $857.82 | $857.82 |