| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,115.58 | $1,115.58 | $1,115.58 | |
Aetna
| Professional | $613.86 | $1,115.58 | $1,985.43 | |
BCBS
| Professional | $357.61 | $490.00 | $861.57 | |
Medcost
| Facility | $460.69 | $698.55 | $922.72 | |
Molina
| Professional | $327.35 | $420.04 | $646.90 | |
United
| Professional | $383.83 | $599.88 | $1,017.53 |