| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $341.55 | $341.55 | $448.24 | |
Aetna
| Professional | $317.06 | $341.55 | $477.48 | |
Anthem BCBS
| Professional | $656.88 | $772.80 | $912.50 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 |