| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $150.00 | $150.00 | $157.59 | |
Cigna
| Facility | $105.84 | $105.84 | $105.84 | |
Cigna
| Professional | $104.74 | $104.74 | $104.74 | |
MVP Health Care
| Facility | $105.84 | $105.84 | $105.84 | |
MVP Health Care
| Professional | $104.74 | $104.74 | $104.74 |