| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $602.56 | $602.56 | |
Aetna
| Professional | $446.68 | $446.68 | $446.68 | |
BCBS
| Facility | $407.38 | $524.81 | $794.33 | |
BCBS
| Professional | $407.38 | $457.09 | $602.56 | |
Medcost
| Facility | $436.52 | $489.78 | $1,230.27 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $1,862.09 | $2,137.96 | $2,818.38 | |
United
| Professional | $416.87 | $489.78 | $676.08 |