| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.11 | $122.42 | $122.42 | |
Aetna
| Professional | $99.11 | $122.42 | $122.42 | |
Ambetter
| Professional | $112.80 | $130.00 | $206.55 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
MVP Health Care
| Facility | $555.00 | $555.00 | $597.00 | |
MVP Health Care
| Professional | $9.85 | $9.85 | $9.85 |