| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.32 | $993.00 | $2,010.00 | |
Aetna
| Professional | $152.16 | $186.32 | $260.69 | |
BCBS
| Professional | $203.00 | $203.00 | $203.00 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $209.82 | $253.64 | $370.62 |