| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.59 | $11.59 | $46.86 | |
Aetna
| Professional | $11.22 | $11.59 | $30.68 | |
Medcost
| Facility | $9.02 | $10.58 | $24.41 | |
Medcost
| Professional | $137.37 | $137.37 | $137.37 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $7.41 | $11.30 | $18.75 |