| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.22 | $187.22 | $224.00 | |
Aetna
| Professional | $144.07 | $184.86 | $192.09 | |
Anthem BCBS
| Professional | $73.80 | $82.00 | $110.70 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |