| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $537.64 | $537.64 | $3,614.02 | |
Ambetter
| Professional | $512.57 | $512.57 | $512.57 | |
BCBS
| Facility | $4,367.93 | $4,367.93 | $4,367.93 | |
BCBS
| Professional | $832.00 | $832.00 | $4,367.93 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $3,068.18 | $4,664.60 | $8,413.51 |