| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.80 | $138.80 | $251.19 | |
Aetna
| Professional | $136.72 | $138.80 | $157.72 | |
Anthem BCBS
| Professional | $374.38 | $440.45 | $440.45 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |