| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $618.00 | $1,250.00 | $1,831.00 | |
BCBS
| Professional | $543.00 | $543.00 | $543.00 | |
Molina
| Professional | $38.25 | $42.50 | $50.00 | |
United
| Facility | $1,185.00 | $6,242.00 | $15,000.00 |