| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $37.15 | $87.46 | |
Aetna
| Professional | $19.20 | $37.15 | $87.46 | |
Anthem BCBS
| Professional | $18.05 | $18.05 | $48.12 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $19.36 | $19.36 | $19.36 |