| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $245.47 | $269.15 | |
Aetna
| Professional | $100.00 | $107.15 | $154.88 | |
BCBS
| Facility | $173.78 | $181.97 | $181.97 | |
BCBS
| Professional | $181.97 | $181.97 | $181.97 | |
Molina
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Facility | $120.23 | $120.23 | $162.18 | |
United
| Professional | $56.23 | $81.28 | $302.00 |