| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.70 | $166.35 | $166.35 | |
Aetna
| Professional | $121.78 | $163.77 | $198.40 | |
Anthem BCBS
| Professional | $212.00 | $327.25 | $385.00 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 |