| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.51 | $28.51 | $28.51 | |
Aetna
| Professional | $15.60 | $28.51 | $36.20 | |
BCBS
| Professional | $22.00 | $22.00 | $22.00 | |
Molina
| Professional | $35.84 | $42.50 | $68.00 | |
United
| Professional | $25.17 | $35.24 | $49.32 |