| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $325.61 | $1,320.00 | $2,825.00 | |
Aetna
| Professional | $185.62 | $325.61 | $495.62 | |
BCBS
| Professional | $1,357.00 | $1,357.00 | $1,357.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Facility | $624.00 | $1,223.00 | $5,253.00 | |
United
| Professional | $434.25 | $643.27 | $1,327.71 |