| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Anthem BCBS
| Professional | $2.04 | $2.29 | $4.37 | |
Molina
| Professional | $30.20 | $50.12 | $50.12 | |
SummaCare
| Professional | $60.26 | $60.26 | $60.26 | |
United
| Facility | $0.42 | $1.66 | $3.89 | |
United
| Professional | $1.66 | $4.17 | $4.17 |