| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.59 | $177.59 | $177.59 | |
Aetna
| Professional | $155.79 | $177.59 | $177.59 | |
BCBS
| Professional | $177.41 | $184.51 | $242.61 | |
Medcost
| Facility | $138.75 | $195.35 | $440.08 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $138.24 | $159.56 | $224.57 |