| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.12 | $63.08 | $87.41 | |
Aetna
| Professional | $49.12 | $50.49 | $55.54 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.07 | |
CareSource
| Facility | $12,650.40 | $12,650.40 | $13,786.94 | |
Molina
| Professional | $40.00 | $50.00 | $50.00 |