| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.00 | $144.57 | $195.17 | |
Aetna
| Professional | $62.41 | $62.41 | $151.68 | |
BCBS
| Facility | $102.70 | $106.65 | $106.65 | |
BCBS
| Professional | $1,367.79 | $1,367.79 | $1,367.79 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $33.18 | $47.40 | $134.85 |