| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,754.40 | $5,754.40 | $5,754.40 | |
Aetna
| Professional | $1,659.59 | $1,819.70 | $2,691.53 | |
BCBS
| Professional | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $16.98 | $21.38 | $50.12 | |
United
| Facility | $4,897.79 | $4,897.79 | $4,897.79 | |
United
| Professional | $1,071.52 | $1,513.56 | $5,623.41 |