| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.00 | $936.00 | $1,831.00 | |
Aetna
| Professional | $224.97 | $537.22 | $775.31 | |
BCBS
| Professional | $455.87 | $455.87 | $455.87 | |
Molina
| Professional | $42.50 | $42.50 | $50.00 | |
United
| Facility | $624.00 | $1,236.00 | $5,253.00 | |
United
| Professional | $553.82 | $729.74 | $1,759.19 |