| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,660.93 | $4,660.93 | $4,660.93 | |
Aetna
| Professional | $1,498.63 | $3,452.54 | $3,794.00 | |
BCBS
| Professional | $4,118.00 | $4,118.00 | $4,118.00 | |
Molina
| Professional | $21.25 | $25.00 | $50.00 | |
United
| Professional | $796.74 | $1,138.20 | $4,232.21 |