| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $199.53 | $199.53 | |
Aetna
| Professional | $218.78 | $218.78 | $218.78 | |
Anthem BCBS
| Professional | $35.48 | $70.79 | $354.81 | |
DeanCare
| Facility | $371.54 | $2,818.38 | $3,715.35 | |
Molina
| Professional | $50.12 | $54.95 | $70.79 | |
United
| Professional | $41.69 | $47.86 | $954.99 |