| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.74 | $31.53 | $40.04 | |
Aetna
| Professional | $22.89 | $29.86 | $34.33 | |
BCBS
| Professional | $91.00 | $91.00 | $91.00 | |
Molina
| Professional | $25.00 | $42.50 | $68.00 | |
United
| Facility | $721.00 | $1,369.00 | $5,253.00 | |
United
| Professional | $25.51 | $34.15 | $78.62 |