| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.82 | $407.82 | $818.44 | |
Aetna
| Professional | $397.98 | $407.82 | $521.42 | |
Anthem BCBS
| Professional | $1,185.75 | $1,395.00 | $1,395.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |