| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.00 | $703.00 | $2,625.00 | |
Anthem BCBS
| Facility | $366.00 | $797.00 | $1,775.00 | |
Fidelis
| Facility | $174.86 | $174.86 | $180.18 | |
MVP Health Care
| Facility | $261.00 | $377.00 | $431.00 | |
Optum
| Facility | $350.00 | $406.00 | $571.00 |