| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $28.84 | $38.90 | $48.98 | |
Medcost
| Facility | $36.31 | $43.65 | $77.62 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $38.90 | $48.98 | $83.18 |