| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.60 | $1,041.46 | $5,051.60 | |
Aetna
| Professional | $11.16 | $109.61 | $1,041.46 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |