| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,263.53 | $2,299.62 | $2,527.06 | |
Aetna
| Professional | $998.19 | $2,299.62 | $2,527.06 | |
BCBS
| Facility | $1,642.59 | $1,705.77 | $1,705.77 | |
Molina
| Professional | $21.25 | $25.00 | $50.00 | |
United
| Professional | $530.67 | $758.12 | $2,148.00 |