| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.82 | $443.71 | $443.71 | |
Aetna
| Professional | $420.82 | $443.71 | $443.71 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
MVP Health Care
| Facility | $64.00 | $555.00 | $74,999.25 |