| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.55 | $758.06 | $1,288.81 | |
Aetna
| Professional | $751.56 | $751.56 | $890.93 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 | |
Highmark BCBS
| Facility | $150.24 | $150.24 | $150.24 | |
MVP Health Care
| Facility | $64.00 | $555.00 | $74,999.25 | |
MVP Health Care
| Professional | $477.77 | $477.77 | $477.77 |