| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,378.00 | $5,000.27 | $13,020.30 | |
BCBS
| Facility | $1,293.76 | $4,319.35 | $7,505.13 | |
Molina
| Professional | $60.00 | $60.00 | $1,500.00 | |
United
| Facility | $1,824.00 | $2,516.00 | $2,655.00 |