| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $597.95 | $2,059.63 | $10,718.30 | |
BCBS
| Professional | $356.99 | $1,317.60 | $4,354.47 | |
Medcost
| Professional | $2,474.75 | $2,474.75 | $2,474.75 | |
Molina
| Professional | $3,265.60 | $4,187.46 | $6,273.89 | |
United
| Professional | $3,818.25 | $5,788.08 | $10,866.52 |