| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.96 | $0.96 | $3.88 | |
Aetna
| Professional | $0.96 | $0.96 | $0.96 | |
Medcost
| Facility | $0.96 | $1.20 | $20.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $0.56 | $0.56 | $0.56 |