| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $123.25 | $123.25 | $123.25 | |
Cigna
| Facility | $52.43 | $52.43 | $129.80 | |
Cigna
| Professional | $35.93 | $35.93 | $44.91 | |
MVP Health Care
| Facility | $52.43 | $52.43 | $129.80 | |
MVP Health Care
| Professional | $20.36 | $35.93 | $44.91 | |
United
| Professional | $18.80 | $18.80 | $43.86 |