| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.58 | $5,000.27 | $7,838.38 | |
Aetna
| Professional | $27.58 | $27.58 | $27.58 | |
BCBS
| Facility | $550.64 | $1,984.65 | $3,403.51 | |
Molina
| Professional | $60.00 | $60.00 | $386.77 | |
Providence
| Facility | $27.58 | $27.58 | $27.58 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |