| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.49 | $1,453.92 | $1,612.82 | |
Aetna
| Professional | $627.65 | $1,453.92 | $1,612.82 | |
BCBS
| Facility | $794.49 | $794.49 | $794.49 | |
BCBS
| Professional | $794.49 | $794.49 | $794.49 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $333.69 | $476.69 | $1,350.63 |