| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.63 | $936.00 | $1,831.00 | |
Aetna
| Professional | $241.11 | $339.63 | $991.05 | |
BCBS
| Professional | $864.00 | $864.00 | $864.00 | |
Molina
| Professional | $42.50 | $42.50 | $50.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 | |
United
| Professional | $338.47 | $551.74 | $1,040.96 |