| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,258.93 | $1,445.44 | $1,659.59 | |
BCBS
| Professional | $5,495.41 | $5,754.40 | $5,754.40 | |
Medcost
| Facility | $1,148.15 | $4,265.80 | $6,309.57 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $794.33 | $1,148.15 | $2,290.87 |