| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,482.00 | $14,482.00 | $17,823.00 | |
Anthem BCBS
| Facility | $12,080.00 | $17,505.00 | $23,937.00 | |
Medica
| Facility | $13,676.00 | $22,696.00 | $44,689.00 | |
Molina
| Professional | $50.00 | $58.40 | $70.00 | |
United
| Facility | $13,676.00 | $21,823.00 | $27,528.00 |