| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.63 | $137.08 | $174.09 | |
Aetna
| Professional | $93.03 | $121.73 | $174.09 | |
BCBS
| Professional | $390.00 | $390.00 | $390.00 | |
Molina
| Professional | $38.25 | $42.50 | $50.00 | |
United
| Professional | $143.52 | $182.70 | $420.37 |