| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $52.48 | |
Aetna
| Professional | $32.36 | $48.98 | $57.54 | |
BCBS
| Facility | $831.76 | $1,905.46 | $3,890.45 | |
Medcost
| Facility | $39.81 | $57.54 | $97.72 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 |