| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,805.68 | $5,805.68 | $5,805.68 | |
Aetna
| Professional | $1,985.47 | $1,985.47 | $1,985.47 | |
BCBS
| Professional | $99.73 | $99.73 | $99.73 | |
Molina
| Professional | $17.00 | $20.00 | $42.50 | |
United
| Professional | $1,055.57 | $1,507.95 | $5,607.06 |