| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $17.98 | $34.49 | |
Aetna
| Professional | $1.00 | $30.03 | $34.49 | |
Anthem BCBS
| Professional | $15.26 | $18.95 | $24.34 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $2.02 | $2.02 | $2.02 |