| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.74 | $202.35 | $202.35 | |
Aetna
| Professional | $148.15 | $199.88 | $232.29 | |
Anthem BCBS
| Professional | $300.00 | $430.95 | $507.00 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 |