| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.23 | $2.23 | $13.00 | |
Aetna
| Professional | $1.31 | $2.23 | $2.23 | |
Anthem BCBS
| Professional | $8.10 | $9.25 | $14.52 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 | |
United
| Professional | $40.00 | $40.00 | $40.00 |