| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $407.38 | $407.38 | |
BCBS
| Facility | $588.84 | $588.84 | $588.84 | |
CareSource
| Facility | $371.54 | $512.86 | $776.25 | |
Health Alliance Plan
| Facility | $363.08 | $389.05 | $1,023.29 | |
United
| Facility | $331.13 | $331.13 | $338.84 |