| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.00 | $1,831.00 | $2,825.00 | |
BCBS
| Professional | $1,519.00 | $1,519.00 | $1,519.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Facility | $690.00 | $1,223.00 | $4,093.00 |