| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,435.00 | $4,456.05 | $4,943.05 | |
Aetna
| Professional | $1,923.65 | $4,456.05 | $4,943.05 | |
BCBS
| Facility | $2,435.00 | $2,435.00 | $2,435.00 | |
BCBS
| Professional | $2,435.00 | $2,435.00 | $2,435.00 | |
Molina
| Professional | $17.00 | $20.00 | $42.50 | |
United
| Professional | $1,022.70 | $1,461.00 | $4,139.50 |