| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.59 | $3,768.95 | $9,242.69 | |
Aetna
| Professional | $3,768.95 | $3,768.95 | $4,720.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |