| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Anthem BCBS
| Professional | $1.00 | $1.00 | $2.66 | |
Cigna
| Professional | $1.33 | $1.33 | $1.33 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $1.33 | $1.33 | $1.33 |