| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,900.20 | $3,477.37 | $3,857.41 | |
Aetna
| Professional | $1,501.16 | $3,477.37 | $3,857.41 | |
BCBS
| Facility | $1,900.20 | $1,900.20 | $1,900.20 | |
BCBS
| Professional | $1,900.20 | $1,900.20 | $1,900.20 | |
Molina
| Professional | $17.00 | $20.00 | $42.50 | |
United
| Professional | $798.08 | $1,140.11 | $3,230.34 |