| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.12 | $993.00 | $2,010.00 | |
Aetna
| Professional | $10.88 | $13.12 | $16.66 | |
BCBS
| Professional | $50.48 | $50.48 | $50.48 | |
Molina
| Professional | $38.25 | $38.25 | $45.00 | |
United
| Professional | $5.20 | $5.97 | $9.27 |