| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $710.00 | $1,502.00 | $2,575.00 | |
BCBS
| Professional | $2,682.00 | $2,682.00 | $2,682.00 | |
Molina
| Professional | $38.25 | $42.50 | $50.00 | |
United
| Facility | $690.00 | $1,223.00 | $4,093.00 |