| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $5.00 | |
Aetna
| Professional | $5.00 | $5.00 | $5.00 | |
Anthem BCBS
| Professional | $0.02 | $20.00 | $30.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $9.01 | $9.01 | $9.01 | |
MVP Health Care
| Facility | $64.00 | $64.00 | $64.00 | |
MVP Health Care
| Professional | $9.01 | $9.01 | $9.01 |