| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.00 | $13.00 | $359.00 | |
Aetna
| Professional | $13.00 | $13.00 | $13.00 | |
Anthem BCBS
| Professional | $29.72 | $48.55 | $78.77 | |
CareSource
| Facility | $7,279.93 | $31,849.69 | $68,249.33 | |
CareSource
| Professional | $57,749.43 | $70,874.30 | $74,999.25 |