| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,200.00 | $5,824.00 | $6,400.00 | |
Aetna
| Professional | $2,528.00 | $5,824.00 | $6,400.00 | |
BCBS
| Facility | $4,160.00 | $4,320.00 | $4,320.00 | |
Molina
| Professional | $21.25 | $25.00 | $50.00 | |
United
| Professional | $1,344.00 | $1,920.00 | $5,440.00 |