| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.00 | $117.00 | $223.00 | |
Anthem BCBS
| Facility | $764.00 | $1,937.00 | $4,671.00 | |
Emblem Health
| Facility | $916.00 | $3,013.00 | $4,957.00 | |
Fidelis
| Facility | $265.12 | $273.61 | $353.84 |