| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.72 | $260.72 | $331.83 | |
Aetna
| Professional | $254.40 | $260.72 | $283.08 | |
Anthem BCBS
| Professional | $485.81 | $571.54 | $571.54 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |