| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $1,202.26 | $1,348.96 | |
Aetna
| Professional | $501.19 | $537.03 | $1,202.26 | |
BCBS
| Facility | $660.69 | $660.69 | $660.69 | |
BCBS
| Professional | $660.69 | $660.69 | $660.69 | |
Molina
| Professional | $16.98 | $21.38 | $42.66 | |
United
| Facility | $602.56 | $602.56 | $794.33 | |
United
| Professional | $275.42 | $398.11 | $1,479.11 |