| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $200.00 | $200.00 | |
Anthem BCBS
| Professional | $354.09 | $354.09 | $423.88 | |
Molina
| Professional | $50.00 | $55.00 | $70.00 | |
United
| Facility | $1,086.33 | $1,086.33 | $1,086.33 |