| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.05 | $6.05 | $6.05 | |
Anthem BCBS
| Professional | $33.90 | $35.90 | $39.90 | |
Cigna
| Professional | $0.80 | $0.80 | $0.80 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $0.80 | $0.80 | $0.80 |