| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.89 | $953.05 | $1,925.57 | |
Aetna
| Professional | $531.89 | $531.89 | $897.01 | |
BCBS
| Facility | $1,183.85 | $2,199.21 | $3,625.48 | |
Medcost
| Facility | $531.89 | $585.08 | $1,026.59 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |