| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
Anthem BCBS
| Professional | $0.23 | $0.23 | $0.23 | |
CareSource
| Facility | $93.11 | $93.11 | $93.12 | |
CareSource
| Professional | $68.98 | $76.48 | $93.12 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |