| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.95 | $351.95 | $363.86 | |
Aetna
| Professional | $343.52 | $351.95 | $362.32 | |
Anthem BCBS
| Professional | $545.00 | $626.75 | $801.08 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |