| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,873.00 | $7,048.86 | $7,746.00 | |
Aetna
| Professional | $3,059.67 | $7,048.86 | $7,746.00 | |
BCBS
| Facility | $3,873.00 | $3,873.00 | $3,873.00 | |
BCBS
| Professional | $3,873.00 | $3,873.00 | $3,873.00 | |
Molina
| Professional | $21.25 | $25.00 | $50.00 | |
United
| Professional | $1,626.66 | $2,323.80 | $5,809.50 |