| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,517.60 | $1,650.39 | $1,764.21 | |
BCBS
| Professional | $5,435.00 | $5,435.00 | $8,152.50 | |
Medcost
| Facility | $1,517.60 | $5,435.00 | $5,435.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $796.74 | $1,138.20 | $2,717.50 |