| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,481.54 | $11,481.54 | $11,481.54 | |
BCBS
| Facility | $6,456.54 | $12,882.50 | $24,547.09 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $2,754.23 | $11,220.18 | $17,378.01 |