| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,237.50 | $7,432.91 | $11,417.57 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Anthem BCBS
| Facility | $1,500.00 | $5,671.00 | $11,582.00 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |