| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $323.59 | $354.81 | |
Aetna
| Professional | $131.83 | $141.25 | $316.23 | |
BCBS
| Facility | $229.09 | $234.42 | $234.42 | |
BCBS
| Professional | $234.42 | $234.42 | $234.42 | |
Molina
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Facility | $158.49 | $158.49 | $208.93 | |
United
| Professional | $74.13 | $104.71 | $389.05 |