| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.81 | $319.89 | $354.86 | |
Aetna
| Professional | $138.10 | $319.89 | $354.86 | |
BCBS
| Facility | $227.25 | $235.99 | $235.99 | |
BCBS
| Professional | $235.99 | $235.99 | $235.99 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Facility | $174.81 | $174.81 | $174.81 | |
United
| Professional | $73.42 | $104.89 | $298.39 |