| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $323.59 | |
Aetna
| Professional | $281.84 | $331.13 | $436.52 | |
BCBS
| Facility | $933.25 | $1,905.46 | $3,890.45 | |
Medcost
| Facility | $323.59 | $467.74 | $741.31 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 |