| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.75 | $30.75 | $30.75 | |
Aetna
| Professional | $30.75 | $30.75 | $31.99 | |
BCBS
| Facility | $81.18 | $91.85 | $100.48 | |
Medcost
| Facility | $23.96 | $33.83 | $41.51 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $24.28 | $24.28 | $29.14 |