| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
Anthem BCBS
| Professional | $4.59 | $4.59 | $4.59 | |
CareSource
| Facility | $93.11 | $43,499.57 | $55,999.44 | |
CareSource
| Professional | $51.73 | $75.88 | $48,999.51 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |