| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.72 | $357.89 | $539.54 | |
Aetna
| Professional | $206.72 | $206.72 | $206.72 | |
Anthem BCBS
| Professional | $0.02 | $51.81 | $118.08 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |