| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $627.60 | $627.60 | $10,071.90 | |
Ambetter
| Professional | $489.14 | $489.14 | $489.14 | |
BCBS
| Facility | $9,022.76 | $9,022.76 | $9,022.76 | |
BCBS
| Professional | $931.00 | $931.00 | $9,022.76 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $9,078.45 | $13,246.56 | $22,671.47 |