| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.28 | $111.04 | $111.04 | |
Aetna
| Professional | $105.28 | $111.04 | $360.00 | |
Anthem BCBS
| Professional | $32.00 | $48.40 | $66.19 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
MVP Health Care
| Facility | $64.00 | $64.00 | $597.00 |