| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.79 | $300.00 | $8,229.00 | |
Aetna
| Professional | $240.61 | $286.44 | $300.00 | |
Anthem BCBS
| Professional | $305.50 | $325.00 | $331.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |