| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.22 | $855.25 | $2,381.82 | |
Aetna
| Professional | $760.22 | $855.25 | $1,136.89 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Facility | $64.00 | $10,672.00 | $11,072.00 | |
MVP Health Care
| Facility | $64.00 | $10,672.00 | $11,072.00 |