| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.43 | $22.43 | $22.43 | |
BCBS
| Facility | $208.78 | $208.78 | $208.78 | |
Cigna
| Facility | $36.28 | $36.28 | $219.90 | |
Cigna
| Professional | $8.57 | $20.72 | $30.98 | |
MVP Health Care
| Facility | $36.28 | $36.28 | $219.90 | |
MVP Health Care
| Professional | $8.57 | $20.72 | $30.98 | |
United
| Professional | $10.85 | $13.00 | $27.83 |