| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.59 | $2.59 | $3.89 | |
Aetna
| Professional | $2.24 | $2.59 | $2.75 | |
Anthem BCBS
| Professional | $187.00 | $225.00 | $347.50 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
Univera
| Facility | $3.33 | $3.33 | $3.33 | |
Univera
| Professional | $3.33 | $3.33 | $3.33 |