| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.40 | $15.40 | $69.73 | |
Anthem BCBS
| Facility | $157.00 | $157.00 | $157.00 | |
Anthem BCBS
| Professional | $20.00 | $21.32 | $226.37 | |
Blue Shield
| Professional | $8.75 | $12.50 | $13.50 | |
Lucent Health
| Facility | $65.00 | $80.00 | $100.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
Providence
| Facility | $6.21 | $15.40 | $69.73 | |
Providence
| Professional | $5.23 | $5.23 | $5.23 |