| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.62 | $639.79 | $863.73 | |
Aetna
| Professional | $262.22 | $262.22 | $262.22 | |
BCBS
| Facility | $454.51 | $471.99 | $471.99 | |
BCBS
| Professional | $2,059.51 | $2,059.51 | $2,059.51 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Facility | $314.66 | $314.66 | $349.62 | |
United
| Professional | $146.84 | $209.77 | $596.79 |