| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $662.32 | $1,212.05 | $1,344.51 | |
Aetna
| Professional | $523.23 | $1,212.05 | $1,344.51 | |
BCBS
| Facility | $662.32 | $662.32 | $662.32 | |
BCBS
| Professional | $662.32 | $662.32 | $662.32 | |
Molina
| Professional | $17.00 | $20.00 | $42.50 | |
United
| Professional | $278.17 | $397.39 | $1,130.56 |