| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $1,318.26 | $1,995.26 | |
BCBS
| Professional | $812.83 | $812.83 | $812.83 | |
Molina
| Professional | $38.02 | $42.66 | $50.12 | |
United
| Facility | $1,047.13 | $4,073.80 | $15,848.93 |