| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.00 | $6,160.00 | $10,965.00 | |
Aetna
| Professional | $2,220.00 | $6,962.00 | $13,407.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |