| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.43 | $22.43 | $22.43 | |
BCBS
| Facility | $123.25 | $123.25 | $123.25 | |
Cigna
| Facility | $30.28 | $30.28 | $129.80 | |
Cigna
| Professional | $20.65 | $20.65 | $25.81 | |
MVP Health Care
| Facility | $30.28 | $30.28 | $129.80 | |
MVP Health Care
| Professional | $11.76 | $20.65 | $25.81 | |
United
| Professional | $10.85 | $10.85 | $25.33 |