| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $1,819.70 | $2,818.38 | |
Aetna
| Professional | $288.40 | $416.87 | $501.19 | |
BCBS
| Professional | $2,187.76 | $2,187.76 | $2,187.76 | |
Molina
| Professional | $19.95 | $25.12 | $67.61 | |
United
| Facility | $575.44 | $1,348.96 | $4,073.80 | |
United
| Professional | $380.19 | $512.86 | $1,148.15 |