| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $25.12 | $38.02 | |
BCBS
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Facility | $52.48 | $109.65 | $109.65 | |
Cigna
| Professional | $36.31 | $36.31 | $44.67 | |
MVP Health Care
| Facility | $31.62 | $31.62 | $31.62 | |
United
| Facility | $10.96 | $10.96 | $10.96 | |
United
| Professional | $13.80 | $18.62 | $47.86 |