| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,716.00 | $11,909.00 | $21,886.00 | |
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
BCBS
| Facility | $6,397.05 | $7,407.40 | $16,458.75 | |
Cigna
| Facility | $890.00 | $890.00 | $890.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $3,028.00 | $19,526.00 | $24,161.00 |