| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $16.98 | $16.98 | |
Aetna
| Professional | $19.95 | $33.88 | $41.69 | |
Anthem BCBS
| Professional | $15.14 | $19.05 | $30.90 | |
Cigna
| Facility | $69.18 | $69.18 | $53,703.18 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Emblem Health
| Professional | $234.42 | $234.42 | $234.42 | |
MVP Health Care
| Facility | $50,118.72 | $53,703.18 | $75,857.76 | |
United
| Professional | $19.95 | $19.95 | $19.95 |