| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $420.82 | $443.71 | $1,151.72 | |
Anthem BCBS
| Professional | $6.80 | $8.01 | $8.01 | |
DeanCare
| Facility | $420.82 | $443.71 | $1,750.61 | |
Medica
| Facility | $420.82 | $1,750.61 | $2,020.13 | |
Molina
| Professional | $50.00 | $65.00 | $70.00 | |
Prevea360
| Facility | $420.82 | $443.71 | $1,750.61 |