| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $1,445.44 | $1,584.89 | |
Aetna
| Professional | $602.56 | $645.65 | $1,445.44 | |
BCBS
| Facility | $794.33 | $794.33 | $794.33 | |
BCBS
| Professional | $794.33 | $794.33 | $794.33 | |
Molina
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Facility | $707.95 | $707.95 | $954.99 | |
United
| Professional | $331.13 | $478.63 | $1,778.28 |