| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.00 | $497.00 | $3,367.10 | |
Aetna
| Professional | $497.00 | $497.00 | $497.00 | |
BCBS
| Professional | $710.00 | $745.50 | $979.80 | |
Medcost
| Facility | $553.79 | $710.00 | $852.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $298.20 | $426.00 | $646.53 |