| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.28 | $63.28 | $69.29 | |
Aetna
| Professional | $63.28 | $69.29 | $69.29 | |
Anthem BCBS
| Professional | $0.75 | $26.00 | $45.79 | |
CareSource
| Facility | $27,562.22 | $32,812.17 | $44,999.55 | |
CareSource
| Professional | $34,124.66 | $36,749.62 | $36,749.62 |