| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.08 | $130.08 | $130.08 | |
Aetna
| Professional | $118.13 | $130.08 | $130.79 | |
Anthem BCBS
| Professional | $0.02 | $0.03 | $0.03 | |
CareSource
| Facility | $327.63 | $458.68 | $458.68 | |
CareSource
| Professional | $339.77 | $393.16 | $504.55 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 |