| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.32 | $30.32 | $30.32 | |
Aetna
| Professional | $30.32 | $38.00 | $55.04 | |
BCBS
| Facility | $11.53 | $21.45 | $35.09 | |
Medcost
| Facility | $30.32 | $33.75 | $55.04 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $43.62 | $52.38 | $81.67 |