| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.98 | $86.34 | $109.65 | |
Aetna
| Professional | $56.76 | $85.02 | $112.99 | |
BCBS
| Professional | $375.00 | $375.00 | $375.00 | |
Molina
| Professional | $38.25 | $45.00 | $68.00 | |
United
| Professional | $63.94 | $82.14 | $215.28 |