| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $200.00 | $200.00 | |
Anthem BCBS
| Professional | $310.23 | $354.09 | $423.88 | |
Medica
| Facility | $2,430.37 | $2,430.37 | $2,430.37 | |
Molina
| Professional | $50.00 | $65.00 | $70.00 |