| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $758.58 | $831.76 | |
Aetna
| Professional | $309.03 | $338.84 | $758.58 | |
BCBS
| Facility | $23.99 | $23.99 | $23.99 | |
BCBS
| Professional | $23.99 | $23.99 | $23.99 | |
Molina
| Professional | $16.98 | $21.38 | $50.12 | |
United
| Facility | $371.54 | $371.54 | $501.19 | |
United
| Professional | $173.78 | $251.19 | $933.25 |