| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $640.00 | $640.00 | $1,820.00 | |
Aetna
| Professional | $640.00 | $1,820.00 | $1,820.00 | |
Anthem BCBS
| Professional | $0.02 | $0.03 | $6.26 | |
Emblem Health
| Professional | $441.00 | $462.60 | $710.55 | |
MVP Health Care
| Facility | $597.00 | $597.00 | $597.00 |