| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.49 | $34.49 | $60.23 | |
Aetna
| Professional | $20.09 | $54.75 | $65.84 | |
BCBS
| Facility | $11.55 | $11.55 | $12.71 | |
BCBS
| Professional | $11.00 | $11.00 | $11.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |