| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $710.00 | $1,299.30 | $1,754.06 | |
Aetna
| Professional | $532.50 | $816.50 | $816.50 | |
BCBS
| Facility | $923.00 | $958.50 | $958.50 | |
BCBS
| Professional | $1,156.41 | $1,156.41 | $1,156.41 | |
Molina
| Professional | $17.00 | $20.00 | $42.50 | |
United
| Professional | $298.20 | $426.00 | $1,065.00 |