| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.96 | $239.96 | $239.96 | |
Aetna
| Professional | $210.50 | $239.96 | $239.96 | |
BCBS
| Professional | $239.73 | $249.32 | $327.83 | |
Medcost
| Facility | $216.59 | $263.95 | $594.61 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $208.60 | $227.42 | $335.71 |