| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.00 | $13.00 | $13.00 | |
Anthem BCBS
| Professional | $23.98 | $33.03 | $44.41 | |
CareSource
| Facility | $12,249.87 | $55,999.44 | $83,999.17 | |
CareSource
| Professional | $74,024.27 | $104,998.95 | $104,998.95 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |