| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $710.00 | $1,502.00 | $2,575.00 | |
Aetna
| Professional | $650.00 | $1,230.00 | $1,387.00 | |
BCBS
| Professional | $455.87 | $455.87 | $455.87 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Facility | $860.00 | $3,066.00 | $8,411.00 |