| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.11 | $268.63 | $268.63 | |
Aetna
| Professional | $243.11 | $265.27 | $268.63 | |
Anthem BCBS
| Professional | $406.00 | $466.90 | $596.74 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |