| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $239.88 | $245.47 | |
Anthem BCBS
| Professional | $20.42 | $20.42 | $20.42 | |
Molina
| Professional | $50.12 | $50.12 | $85.11 | |
Quartz
| Professional | $30.20 | $30.20 | $30.20 |