| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.22 | $41.22 | $41.22 | |
Aetna
| Professional | $28.20 | $42.88 | $49.01 | |
BCBS
| Facility | $11.53 | $21.45 | $35.09 | |
Medcost
| Facility | $40.22 | $42.17 | $60.91 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $43.94 | $54.27 | $80.12 |