| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $8.91 | $8.91 | |
BCBS
| Facility | $7.59 | $17.38 | $47.86 | |
BCBS
| Professional | $8.91 | $9.55 | $10.96 | |
Medcost
| Facility | $9.12 | $9.12 | $10.23 | |
Molina
| Professional | $7.41 | $9.33 | $30.20 | |
United
| Facility | $16.98 | $16.98 | $16.98 | |
United
| Professional | $18.62 | $18.62 | $22.39 |