| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.76 | $88.76 | $88.76 | |
Anthem BCBS
| Professional | $30.00 | $72.56 | $72.56 | |
CareSource
| Facility | $127.35 | $178.28 | $178.29 | |
CareSource
| Professional | $132.06 | $146.44 | $196.11 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 |