| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.73 | $558.32 | $575.91 | |
Aetna
| Professional | $531.73 | $531.73 | $531.73 | |
BCBS
| Facility | $559.79 | $559.79 | $615.77 | |
BCBS
| Professional | $590.00 | $590.00 | $590.00 | |
Molina
| Professional | $17.00 | $20.00 | $68.00 | |
United
| Professional | $301.58 | $384.02 | $788.23 |