| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,062.00 | $12,075.00 | $21,886.00 | |
Aetna
| Professional | $9,062.00 | $9,062.00 | $17,247.00 | |
BCBS
| Facility | $2,863.39 | $7,447.22 | $10,321.09 | |
Medcost
| Facility | $17,879.38 | $17,879.38 | $17,879.38 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $7,570.00 | $12,626.00 | $22,523.00 |