| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.28 | $63.28 | $69.29 | |
Aetna
| Professional | $63.28 | $69.29 | $69.29 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $0.02 | $0.02 | $0.02 | |
MVP Health Care
| Professional | $0.02 | $0.02 | $0.02 |