| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,139.00 | $13,367.00 | $17,823.00 | |
Aetna
| Professional | $13,753.37 | $13,753.37 | $13,753.37 | |
Anthem BCBS
| Facility | $12,080.00 | $17,505.00 | $23,937.00 | |
Medica
| Facility | $6,241.00 | $9,837.00 | $13,918.00 | |
Molina
| Professional | $50.00 | $70.00 | $85.00 | |
United
| Facility | $6,695.00 | $10,843.00 | $13,651.00 |