| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.54 | $50.00 | $50.00 | |
Aetna
| Professional | $42.83 | $50.00 | $52.17 | |
Anthem BCBS
| Professional | $19.55 | $23.00 | $29.40 | |
CareSource
| Facility | $53,899.46 | $53,899.46 | $53,899.46 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |