| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,365.29 | $1,365.29 | $1,365.29 | |
Aetna
| Professional | $1,348.57 | $1,371.43 | $1,604.90 | |
BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Molina
| Professional | $1,000.00 | $1,466.06 | $1,522.67 | |
United
| Professional | $1,342.67 | $1,342.67 | $1,342.67 |