| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.73 | $44.73 | $44.73 | |
Aetna
| Professional | $42.78 | $44.26 | $49.71 | |
BCBS
| Professional | $46.98 | $46.98 | $62.56 | |
Molina
| Professional | $34.86 | $85.00 | $1,500.00 | |
Providence
| Facility | $38.00 | $44.54 | $54.77 |