| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.39 | $1,146.08 | $2,693.60 | |
Aetna
| Professional | $81.39 | $1,145.06 | $1,409.05 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $2.75 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $520.86 | $520.86 | $520.86 | |
Highmark BCBS
| Facility | $274.95 | $890.58 | $2,229.65 | |
MVP Health Care
| Facility | $64.00 | $555.00 | $74,999.25 | |
MVP Health Care
| Professional | $520.86 | $520.86 | $520.86 |