| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $839.35 | $839.35 | $11,017.30 | |
BCBS
| Facility | $14,142.38 | $14,142.38 | $14,142.38 | |
BCBS
| Professional | $1,678.00 | $1,678.00 | $14,142.38 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $14,594.58 | $14,594.58 | $14,594.58 | |
United
| Professional | $8,814.46 | $11,203.88 | $22,919.17 |