| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.13 | $245.46 | $331.37 | |
Aetna
| Professional | $105.96 | $105.96 | $154.25 | |
BCBS
| Facility | $174.37 | $181.08 | $181.08 | |
BCBS
| Professional | $181.08 | $181.08 | $181.08 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Facility | $120.72 | $120.72 | $134.13 | |
United
| Professional | $56.33 | $80.48 | $228.02 |