| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.93 | $3.63 | $38.90 | |
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
BCBS
| Facility | $0.19 | $0.23 | $0.62 | |
Medcost
| Facility | $2.95 | $2.95 | $3.98 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $6.03 | $6.03 | $6.03 |