| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.24 | $241.71 | $241.71 | |
Anthem BCBS
| Professional | $30.34 | $32.13 | $35.70 | |
MVP Health Care
| Facility | $555.00 | $555.00 | $597.00 | |
Univera
| Professional | $199.91 | $199.91 | $199.91 |