| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $112.20 | $239.88 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Molina
| Professional | $30.20 | $50.12 | $60.26 | |
SummaCare
| Professional | $60.26 | $60.26 | $75.86 | |
United
| Professional | $34.67 | $39.81 | $60.26 |