| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.41 | $7.28 | $7.28 | |
Aetna
| Professional | $5.29 | $7.28 | $9.77 | |
Molina
| Professional | $38.25 | $50.00 | $80.00 | |
United
| Facility | $13.55 | $13.55 | $13.55 | |
United
| Professional | $6.27 | $9.41 | $16.13 |