| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $28.18 | $28.18 | |
Aetna
| Professional | $15.85 | $25.70 | $33.11 | |
BCBS
| Professional | $18.62 | $18.62 | $18.62 | |
Molina
| Professional | $21.38 | $42.66 | $67.61 | |
United
| Professional | $2.82 | $16.60 | $25.70 |