| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.19 | $348.19 | $935.17 | |
Aetna
| Professional | $339.82 | $348.19 | $446.22 | |
Anthem BCBS
| Professional | $400.00 | $1,184.90 | $1,394.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |