| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Anthem BCBS
| Professional | $0.02 | $5.78 | $77.00 | |
Cigna
| Professional | $7.62 | $7.62 | $7.62 | |
MVP Health Care
| Facility | $597.00 | $597.00 | $597.00 | |
MVP Health Care
| Professional | $7.62 | $7.62 | $7.62 |