| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $70.79 | |
Aetna
| Professional | $70.79 | $70.79 | $181.97 | |
Anthem BCBS
| Professional | $141.25 | $141.25 | $144.54 | |
CareSource
| Facility | $37.15 | $52.48 | $69.18 | |
CareSource
| Professional | $40.74 | $47.86 | $61.66 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 |