| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.71 | $28.08 | $35.65 | |
Aetna
| Professional | $14.32 | $24.71 | $35.65 | |
BCBS
| Professional | $18.45 | $18.45 | $18.45 | |
Molina
| Professional | $42.50 | $50.00 | $80.00 | |
United
| Professional | $3.07 | $18.27 | $30.06 |