| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.08 | $936.00 | $2,010.00 | |
Aetna
| Professional | $58.23 | $82.15 | $116.94 | |
BCBS
| Professional | $92.55 | $92.55 | $92.55 | |
Molina
| Professional | $42.50 | $42.50 | $50.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 | |
United
| Professional | $88.60 | $132.38 | $256.81 |