| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,739.33 | $12,265.60 | $13,478.70 | |
Aetna
| Professional | $5,324.07 | $12,265.58 | $13,478.66 | |
BCBS
| Facility | $8,761.12 | $9,098.10 | $9,098.10 | |
Molina
| Professional | $21.25 | $25.00 | $50.00 | |
United
| Professional | $2,830.52 | $4,043.60 | $11,456.86 |