| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.78 | $8,956.00 | $11,627.00 | |
Aetna
| Professional | $1.78 | $1.78 | $2.67 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
CareSource
| Facility | $12,648.86 | $12,648.86 | $148,498.50 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |