| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.40 | $131.72 | $131.72 | |
Aetna
| Professional | $80.40 | $131.72 | $132.65 | |
Anthem BCBS
| Professional | $39.60 | $48.40 | $66.19 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
MVP Health Care
| Facility | $64.00 | $64.00 | $597.00 |