| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $57.54 | |
Aetna
| Professional | $43.65 | $50.12 | $64.57 | |
BCBS
| Facility | $588.84 | $588.84 | $588.84 | |
BCBS
| Professional | $81.28 | $81.28 | $81.28 | |
Molina
| Professional | $21.38 | $25.12 | $50.12 |