| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.81 | $46.81 | $46.81 | |
Aetna
| Professional | $46.81 | $46.81 | $46.81 | |
Anthem BCBS
| Professional | $24.46 | $29.43 | $46.78 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |