| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $898.88 | $898.88 | $14,557.80 | |
BCBS
| Facility | $14,909.29 | $14,909.29 | $14,909.29 | |
BCBS
| Professional | $1,378.00 | $1,378.00 | $14,909.29 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $15,101.00 | $15,101.00 | $15,101.00 | |
United
| Professional | $12,431.27 | $16,357.77 | $34,007.48 |