| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.52 | $298.52 | $298.52 | |
Aetna
| Professional | $261.87 | $298.52 | $298.52 | |
BCBS
| Professional | $298.22 | $310.14 | $407.82 | |
Medcost
| Facility | $236.06 | $328.38 | $739.75 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $234.60 | $271.47 | $444.13 |