| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.72 | $480.78 | $533.32 | |
Aetna
| Professional | $207.55 | $480.78 | $533.32 | |
BCBS
| Facility | $262.72 | $262.72 | $262.72 | |
BCBS
| Professional | $262.72 | $262.72 | $262.72 | |
Molina
| Professional | $21.25 | $30.00 | $50.00 | |
United
| Professional | $110.34 | $157.63 | $448.46 |