| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $616.60 | $891.25 | $1,047.13 | |
BCBS
| Professional | $120.23 | $120.23 | $120.23 | |
Molina
| Professional | $67.61 | $67.61 | $79.43 | |
United
| Professional | $794.33 | $977.24 | $1,412.54 |