| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.12 | $176.90 | $604.41 | |
Aetna
| Professional | $51.12 | $51.12 | $604.41 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Emblem Health
| Professional | $38,249.62 | $38,249.62 | $38,249.62 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
Univera
| Facility | $96.10 | $96.10 | $96.10 | |
Univera
| Professional | $96.10 | $96.10 | $96.10 |