| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.90 | $105.90 | $1,997.70 | |
Aetna
| Professional | $93.21 | $105.90 | $114.19 | |
BCBS
| Facility | $898.28 | $2,147.01 | $3,868.86 | |
BCBS
| Professional | $81.00 | $96.59 | $163.41 | |
Medcost
| Facility | $87.55 | $116.49 | $187.07 | |
Molina
| Professional | $55.00 | $55.00 | $55.00 |