| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.74 | $29.74 | $37.17 | |
Aetna
| Professional | $29.74 | $37.17 | $37.17 | |
Anthem BCBS
| Professional | $350.00 | $350.00 | $889.00 | |
Cigna
| Professional | $872.98 | $872.98 | $872.98 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $872.98 | $872.98 | $872.98 |