| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.75 | $936.00 | $1,831.00 | |
Aetna
| Professional | $52.10 | $73.81 | $105.09 | |
BCBS
| Professional | $83.09 | $83.09 | $83.09 | |
Molina
| Professional | $42.50 | $42.50 | $50.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 | |
United
| Professional | $74.97 | $112.20 | $227.88 |