| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.53 | $35.53 | $45.13 | |
Aetna
| Professional | $30.71 | $35.53 | $49.34 | |
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 | $46.52 | $62.03 | $88.29 |