| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.42 | $1.42 | $37.00 | |
Aetna
| Professional | $1.21 | $1.42 | $1.42 | |
Anthem BCBS
| Professional | $98.39 | $114.13 | $194.24 | |
CareSource
| Facility | $64.41 | $64.41 | $78.72 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |