| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $460.47 | $460.47 | $4,904.51 | |
BCBS
| Professional | $4,349.00 | $4,349.00 | $4,349.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $3,653.15 | $5,344.20 | $10,007.20 |