| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.12 | $78.12 | $112.32 | |
Aetna
| Professional | $78.12 | $112.32 | $112.32 | |
Ambetter
| Professional | $40.58 | $41.29 | $43.99 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
MVP Health Care
| Facility | $555.00 | $555.00 | $597.00 | |
MVP Health Care
| Professional | $2.00 | $2.00 | $2.00 | |
Optum
| Professional | $167.08 | $167.08 | $167.08 |