| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.00 | $542.00 | $802.00 | |
Anthem BCBS
| Facility | $227.00 | $479.00 | $1,111.00 | |
Cigna
| Facility | $139.00 | $521.00 | $839.00 | |
MVP Health Care
| Facility | $150.00 | $429.00 | $756.00 | |
Optum
| Facility | $125.00 | $275.00 | $463.00 |