| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.06 | $27.06 | $67.05 | |
Anthem BCBS
| Professional | $56.00 | $64.95 | $120.90 | |
Molina
| Professional | $50.00 | $50.00 | $60.00 | |
United
| Professional | $49.00 | $60.00 | $70.00 |