| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $32.36 | $36.31 | |
Aetna
| Professional | $25.70 | $38.02 | $44.67 | |
Molina
| Professional | $25.12 | $42.66 | $67.61 | |
United
| Facility | $7.08 | $23.44 | $31.62 | |
United
| Professional | $32.36 | $45.71 | $85.11 |