| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $850.97 | $2,653.59 | $54,937.60 | |
BCBS
| Facility | $17,004.63 | $40,794.31 | $64,954.69 | |
BCBS
| Professional | $627.34 | $8,015.35 | $12,736.46 | |
Molina
| Professional | $32.34 | $2,136.17 | $10,904.52 | |
United
| Professional | $11,660.44 | $14,575.55 | $22,600.33 |