| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.47 | $936.00 | $1,831.00 | |
Aetna
| Professional | $209.89 | $263.64 | $375.25 | |
BCBS
| Professional | $1,776.00 | $1,776.00 | $1,776.00 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $290.64 | $368.26 | $705.99 |