| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.57 | $87.57 | $300.00 | |
Aetna
| Professional | $87.57 | $87.57 | $400.00 | |
Anthem BCBS
| Professional | $0.02 | $58.17 | $80.00 | |
Cigna
| Professional | $157.50 | $512.00 | $512.00 | |
MVP Health Care
| Facility | $597.00 | $597.00 | $597.00 | |
MVP Health Care
| Professional | $180.00 | $180.00 | $216.00 | |
United
| Professional | $60.00 | $367.00 | $367.00 |