| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $302.00 | |
Aetna
| Professional | $302.00 | $302.00 | $549.54 | |
Anthem BCBS
| Professional | $81.28 | $95.50 | $131.83 | |
CareSource
| Facility | $47,863.01 | $47,863.01 | $47,863.01 | |
Cigna
| Facility | $5.01 | $5.01 | $5.01 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 |