| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.06 | $40.06 | $50.88 | |
Aetna
| Professional | $30.33 | $35.26 | $50.88 | |
BCBS
| Facility | $57.32 | $57.32 | $57.32 | |
BCBS
| Professional | $92.00 | $92.00 | $92.00 | |
Molina
| Professional | $42.50 | $50.00 | $68.00 | |
United
| Professional | $44.97 | $57.88 | $89.67 |