| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $28.18 | $47.86 | |
Aetna
| Professional | $33.11 | $42.66 | $61.66 | |
BCBS
| Facility | $125.89 | $125.89 | $138.04 | |
BCBS
| Professional | $120.23 | $120.23 | $120.23 | |
Molina
| Professional | $21.38 | $25.12 | $50.12 |