| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.85 | $182.85 | $261.80 | |
Aetna
| Professional | $194.76 | $261.80 | $4,923.67 | |
Anthem BCBS
| Professional | $25.00 | $25.00 | $48.36 | |
Cigna
| Facility | $360.79 | $360.79 | $360.79 | |
MVP Health Care
| Facility | $360.79 | $360.79 | $360.79 |