| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.00 | $238.00 | $238.00 | |
Anthem BCBS
| Facility | $63.00 | $289.00 | $405.00 | |
Emblem Health
| Facility | $1,215.00 | $1,215.00 | $1,215.00 | |
MVP Health Care
| Facility | $3.28 | $3.28 | $3.39 |