| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.73 | $104.58 | $348.14 | |
Aetna
| Professional | $74.87 | $89.38 | $96.53 | |
Anthem BCBS
| Professional | $78.22 | $92.02 | $161.00 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
United
| Professional | $65.09 | $92.58 | $211.74 |