| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.31 | $811.26 | $899.92 | |
Aetna
| Professional | $350.22 | $811.26 | $899.92 | |
BCBS
| Facility | $576.29 | $598.47 | $598.47 | |
BCBS
| Professional | $782.27 | $782.27 | $782.27 | |
Molina
| Professional | $21.25 | $30.00 | $50.00 | |
United
| Professional | $186.19 | $265.99 | $756.72 |