| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $108.93 | $108.93 | $108.93 | |
Cigna
| Facility | $114.80 | $114.80 | $114.80 | |
Cigna
| Professional | $32.63 | $32.63 | $40.78 | |
MVP Health Care
| Facility | $114.80 | $114.80 | $114.80 | |
MVP Health Care
| Professional | $22.66 | $32.63 | $40.78 |