| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $393.40 | $393.40 | $1,291.95 | |
Ambetter
| Professional | $801.37 | $801.37 | $801.37 | |
BCBS
| Professional | $604.00 | $604.00 | $604.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $1,120.91 | $1,743.99 | $3,102.30 |