| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.04 | $84.95 | $84.95 | |
Aetna
| Professional | $58.78 | $84.95 | $125.20 | |
Ambetter
| Professional | $40.00 | $40.00 | $40.00 | |
Anthem BCBS
| Professional | $0.02 | $76.50 | $138.69 | |
Cigna
| Professional | $90.00 | $202.00 | $231.29 | |
MVP Health Care
| Facility | $597.00 | $597.00 | $597.00 | |
MVP Health Care
| Professional | $180.00 | $180.00 | $202.00 | |
United
| Professional | $60.00 | $320.00 | $320.00 |