| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $725.14 | $725.14 | $10,825.00 | |
Ambetter
| Professional | $423.02 | $3,729.62 | $16,817.20 | |
BCBS
| Facility | $9,345.56 | $9,345.56 | $9,345.56 | |
BCBS
| Professional | $1,120.00 | $1,120.00 | $9,345.56 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $9,944.92 | $13,380.56 | $27,069.11 |