| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.64 | $1,357.20 | $1,832.22 | |
Aetna
| Professional | $556.23 | $556.23 | $556.23 | |
BCBS
| Facility | $964.13 | $1,001.21 | $1,001.21 | |
BCBS
| Professional | $1,156.41 | $1,156.41 | $1,156.41 | |
Molina
| Professional | $17.00 | $20.00 | $42.50 | |
United
| Professional | $311.49 | $444.98 | $1,112.46 |