| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.98 | $44.98 | $44.98 | |
BCBS
| Facility | $41.99 | $211.75 | $322.20 | |
BCBS
| Professional | $41.99 | $64.00 | $112.61 | |
Molina
| Professional | $41.99 | $41.99 | $100.00 | |
United
| Professional | $20.89 | $33.65 | $51.57 |