| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $1,047.13 | $1,995.26 | |
Aetna
| Professional | $223.87 | $549.54 | $724.44 | |
BCBS
| Professional | $457.09 | $457.09 | $457.09 | |
Molina
| Professional | $21.38 | $42.66 | $79.43 | |
United
| Facility | $630.96 | $1,621.81 | $5,370.32 | |
United
| Professional | $537.03 | $724.44 | $1,659.59 |