| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.37 | $75.31 | $76.09 | |
Aetna
| Professional | $55.37 | $76.09 | $95.00 | |
Anthem BCBS
| Professional | $13.50 | $35.28 | $35.28 | |
CareSource
| Facility | $50.97 | $64.26 | $66.26 | |
CareSource
| Professional | $46.15 | $56.58 | $80.26 |