| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $28.18 | $28.18 | |
Aetna
| Professional | $15.14 | $28.18 | $34.67 | |
BCBS
| Professional | $21.88 | $21.88 | $21.88 | |
Molina
| Professional | $21.38 | $42.66 | $67.61 | |
United
| Professional | $24.55 | $31.62 | $47.86 |