| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.15 | $578.48 | $3,517.16 | |
Aetna
| Professional | $578.48 | $578.48 | $578.48 | |
BCBS
| Professional | $741.64 | $778.72 | $1,023.46 | |
Medcost
| Facility | $578.48 | $741.64 | $889.97 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $311.49 | $407.90 | $675.34 |