| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.96 | $106.77 | $135.60 | |
Aetna
| Professional | $82.28 | $103.40 | $135.60 | |
BCBS
| Professional | $57.00 | $57.00 | $57.00 | |
Molina
| Professional | $38.25 | $42.50 | $50.00 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $149.29 | $210.79 | $408.40 |