| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $490.39 | $490.39 | $3,322.36 | |
Aetna
| Professional | $490.39 | $490.39 | $490.39 | |
BCBS
| Professional | $700.56 | $735.59 | $966.77 | |
Medcost
| Facility | $546.44 | $700.56 | $840.67 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $294.24 | $420.34 | $637.94 |