| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.28 | $69.29 | $544.86 | |
Aetna
| Professional | $63.28 | $69.29 | $70.81 | |
Anthem BCBS
| Professional | $0.02 | $0.04 | $49.56 | |
Cigna
| Facility | $127.68 | $127.68 | $127.68 | |
Cigna
| Professional | $104.92 | $104.92 | $104.92 | |
Highmark BCBS
| Professional | $50.00 | $50.00 | $50.00 | |
MVP Health Care
| Facility | $127.68 | $555.00 | $597.00 | |
MVP Health Care
| Professional | $104.92 | $104.92 | $104.92 |