| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.06 | $106.38 | $106.38 | |
Aetna
| Professional | $91.78 | $105.25 | $106.38 | |
Anthem BCBS
| Professional | $135.87 | $159.85 | $198.50 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |