| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $544.33 | $544.33 | $544.33 | |
Aetna
| Professional | $435.46 | $435.46 | $435.46 | |
BCBS
| Facility | $761.33 | $2,791.63 | $4,548.92 | |
Molina
| Professional | $45.00 | $60.00 | $1,500.00 | |
United
| Professional | $460.59 | $503.13 | $718.52 |