| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.58 | $291.48 | $291.48 | |
BCBS
| Professional | $184.00 | $184.00 | $184.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Facility | $1,059.90 | $1,059.90 | $1,195.79 |