| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.00 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
BCBS
| Facility | $38,083.49 | $46,081.76 | $81,099.99 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
United
| Facility | $4,262.00 | $12,671.00 | $35,986.00 |