| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $74.13 | |
Aetna
| Professional | $39.81 | $39.81 | $39.81 | |
Anthem BCBS
| Professional | $58.88 | $75.86 | $125.89 | |
Molina
| Professional | $34.67 | $50.12 | $60.26 | |
SummaCare
| Professional | $60.26 | $60.26 | $75.86 | |
United
| Professional | $1,000.00 | $1,000.00 | $1,000.00 |