| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.14 | $5.14 | $5.14 | |
Aetna
| Professional | $4.40 | $5.14 | $5.14 | |
Anthem BCBS
| Professional | $0.02 | $10.00 | $15.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $4.18 | $4.18 | $4.18 | |
MVP Health Care
| Facility | $64.00 | $64.00 | $64.00 | |
MVP Health Care
| Professional | $4.18 | $4.18 | $4.18 |