| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $975.07 | $3,079.48 | $61,857.80 | |
BCBS
| Facility | $17,004.63 | $40,794.31 | $64,954.69 | |
BCBS
| Professional | $721.93 | $9,654.70 | $13,754.01 | |
Molina
| Professional | $32.34 | $2,306.84 | $11,785.24 | |
United
| Professional | $14,247.43 | $17,413.55 | $25,994.46 |