| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,475.80 | $9,965.95 | $10,951.60 | |
Aetna
| Professional | $4,325.88 | $9,965.95 | $10,951.60 | |
BCBS
| Facility | $7,118.54 | $7,392.33 | $7,392.33 | |
Molina
| Professional | $21.25 | $25.00 | $50.00 | |
United
| Professional | $2,299.84 | $3,285.48 | $9,347.03 |