| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.00 | $50.00 | $50.00 | |
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Anthem BCBS
| Professional | $170.00 | $170.00 | $431.80 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
United
| Professional | $35.00 | $60.00 | $68.00 |