| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $759.05 | $1,381.47 | $1,518.10 | |
Aetna
| Professional | $599.65 | $1,381.47 | $1,518.10 | |
BCBS
| Facility | $986.77 | $1,024.72 | $1,024.72 | |
Molina
| Professional | $21.25 | $25.00 | $50.00 | |
United
| Professional | $318.80 | $455.43 | $1,295.68 |