| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.00 | $950.00 | $1,831.00 | |
Aetna
| Professional | $294.39 | $792.90 | $1,144.30 | |
BCBS
| Professional | $455.87 | $455.87 | $455.87 | |
Molina
| Professional | $42.50 | $42.50 | $50.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 | |
United
| Professional | $356.36 | $502.44 | $1,095.98 |