| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $1,047.13 | $1,995.26 | |
Aetna
| Professional | $56.23 | $85.11 | $107.15 | |
BCBS
| Professional | $85.11 | $85.11 | $85.11 | |
Molina
| Professional | $21.38 | $42.66 | $79.43 | |
United
| Facility | $223.87 | $575.44 | $1,659.59 | |
United
| Professional | $79.43 | $104.71 | $199.53 |