| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.13 | $96.10 | $96.10 | |
Aetna
| Professional | $69.12 | $96.09 | $98.73 | |
Ambetter
| Professional | $75.00 | $92.40 | $106.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
MVP Health Care
| Facility | $555.00 | $555.00 | $597.00 | |
MVP Health Care
| Professional | $20.93 | $20.93 | $20.93 |