| 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 | $11,078.00 | $20,369.00 | $39,888.00 | |
Molina
| Professional | $50.00 | $70.00 | $35,394.32 | |
United
| Facility | $11,078.00 | $19,708.00 | $24,111.00 |