| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $5,888.44 | $6,456.54 | |
Aetna
| Professional | $2,398.83 | $2,570.40 | $5,888.44 | |
BCBS
| Facility | $4,168.69 | $4,365.16 | $4,365.16 | |
Molina
| Professional | $21.38 | $25.12 | $50.12 | |
United
| Facility | $2,884.03 | $2,884.03 | $3,801.89 | |
United
| Professional | $1,348.96 | $1,905.46 | $7,079.46 |