| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $1,819.70 | $2,818.38 | |
Aetna
| Professional | $60.26 | $91.20 | $104.71 | |
BCBS
| Professional | $91.20 | $91.20 | $91.20 | |
Molina
| Professional | $21.38 | $42.66 | $79.43 | |
United
| Facility | $223.87 | $575.44 | $1,659.59 | |
United
| Professional | $85.11 | $114.82 | $218.78 |