| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.42 | $7,799.00 | $21,886.00 | |
Aetna
| Professional | $8.42 | $11.88 | $28.00 | |
Medcost
| Facility | $7.84 | $11.06 | $11.37 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $5.01 | $6.24 | $6.93 |