| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.32 | $34.32 | $34.32 | |
Aetna
| Professional | $34.32 | $54.54 | $65.47 | |
BCBS
| Professional | $140.00 | $140.00 | $140.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $99.00 | $161.00 | $162.00 |