| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.33 | $993.00 | $2,010.00 | |
Aetna
| Professional | $252.86 | $287.33 | $450.84 | |
BCBS
| Professional | $380.00 | $380.00 | $380.00 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 | |
United
| Facility | $225.00 | $572.00 | $1,888.00 | |
United
| Professional | $362.90 | $439.75 | $622.41 |