| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $347.47 | $347.47 | $1,470.00 | |
Aetna
| Professional | $329.33 | $347.47 | $475.16 | |
Anthem BCBS
| Professional | $545.00 | $632.20 | $1,005.03 | |
CareSource
| Facility | $12,970.10 | $12,970.10 | $16,024.22 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |