| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.44 | $936.00 | $2,010.00 | |
Aetna
| Professional | $57.55 | $81.59 | $116.13 | |
BCBS
| Professional | $91.51 | $91.51 | $91.51 | |
Molina
| Professional | $42.50 | $42.50 | $50.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 | |
United
| Professional | $87.64 | $134.74 | $253.93 |