| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $367.50 | $367.50 | $367.50 | |
Anthem BCBS
| Professional | $4,830.58 | $4,830.58 | $4,830.58 | |
CareSource
| Facility | $184.25 | $184.25 | $245.67 | |
CareSource
| Professional | $193.46 | $193.46 | $193.46 |