| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.28 | $78.28 | $78.28 | |
Anthem BCBS
| Facility | $64.00 | $87.00 | $206.00 | |
Medica
| Facility | $141.00 | $183.60 | $725.00 | |
Molina
| Facility | $26.01 | $62.36 | $158.36 |
Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.28 | $78.28 | $78.28 | |
Anthem BCBS
| Facility | $64.00 | $87.00 | $206.00 | |
Medica
| Facility | $141.00 | $183.60 | $725.00 | |
Molina
| Facility | $26.01 | $62.36 | $158.36 |