| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $61.66 | $69.18 | |
Aetna
| Professional | $15.85 | $16.98 | $23.99 | |
BCBS
| Facility | $5.62 | $6.31 | $6.92 | |
Medcost
| Facility | $16.98 | $20.42 | $33.11 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $20.89 | $20.89 | $22.91 |