| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,600.00 | $6,552.00 | $7,200.00 | |
Aetna
| Professional | $2,844.00 | $6,552.00 | $7,200.00 | |
BCBS
| Facility | $2,059.51 | $2,059.51 | $2,059.51 | |
BCBS
| Professional | $2,059.51 | $2,059.51 | $2,059.51 | |
Molina
| Professional | $21.25 | $25.00 | $50.00 | |
United
| Professional | $1,512.00 | $2,160.00 | $5,400.00 |