| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.77 | $7.77 | $31.41 | |
Aetna
| Professional | $7.60 | $7.77 | $8.88 | |
Medcost
| Facility | $7.77 | $8.05 | $12.59 | |
Medcost
| Professional | $29.37 | $29.37 | $29.37 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $8.47 | $8.47 | $9.83 | |
United
| Professional | $7.85 | $10.38 | $16.95 |