| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $255.80 | $255.80 | $1,574.78 | |
BCBS
| Professional | $389.00 | $389.00 | $389.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $1,768.90 | $2,714.71 | $4,843.17 |