| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.54 | $787.00 | $8,229.00 | |
Aetna
| Professional | $234.80 | $240.54 | $321.41 | |
Anthem BCBS
| Professional | $84.00 | $84.00 | $107.38 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |