| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.23 | $21.24 | $60.00 | |
Anthem BCBS
| Professional | $0.03 | $19.89 | $22.00 | |
Cigna
| Professional | $228.00 | $228.00 | $228.00 | |
MVP Health Care
| Professional | $228.00 | $228.00 | $228.00 |