| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.67 | $936.00 | $1,831.00 | |
Aetna
| Professional | $174.43 | $215.96 | $311.67 | |
BCBS
| Facility | $569.45 | $569.45 | $569.45 | |
BCBS
| Professional | $455.87 | $455.87 | $455.87 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $254.04 | $340.67 | $698.29 |