| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.84 | $1,155.41 | $1,269.68 | |
Aetna
| Professional | $501.52 | $1,155.41 | $1,269.68 | |
BCBS
| Facility | $634.84 | $634.84 | $634.84 | |
BCBS
| Professional | $634.84 | $634.84 | $634.84 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 | |
United
| Professional | $266.63 | $380.90 | $1,083.65 |