| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $363.08 | $398.11 | |
Aetna
| Professional | $97.72 | $100.00 | $120.23 | |
BCBS
| Professional | $125.89 | $131.83 | $151.36 | |
Medcost
| Facility | $35.48 | $120.23 | $134.90 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $102.33 | $102.33 | $112.20 |