| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.00 | $1,040.00 | $2,010.00 | |
Aetna
| Professional | $416.00 | $656.00 | $1,831.00 | |
BCBS
| Facility | $59.69 | $59.69 | $65.67 | |
BCBS
| Professional | $295.00 | $295.00 | $295.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Facility | $216.00 | $485.00 | $1,888.00 |