| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $358.00 | $358.00 | $358.00 | |
Anthem BCBS
| Professional | $0.02 | $0.03 | $13.69 | |
Emblem Health
| Professional | $25.00 | $25.00 | $25.00 | |
MVP Health Care
| Facility | $597.00 | $597.00 | $597.00 |