| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $608.16 | $1,106.86 | $1,216.33 | |
Aetna
| Professional | $480.45 | $1,106.86 | $1,216.33 | |
BCBS
| Facility | $790.62 | $821.03 | $821.03 | |
Molina
| Professional | $21.25 | $25.00 | $50.00 | |
United
| Facility | $547.35 | $547.35 | $608.16 | |
United
| Professional | $255.43 | $364.90 | $912.26 |