| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.34 | $115.34 | $115.34 | |
Aetna
| Professional | $94.00 | $113.28 | $121.65 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Molina
| Professional | $60.00 | $85.00 | $231.72 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 | |
United
| Professional | $189.82 | $242.63 | $357.33 |