| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $130.66 | $130.66 | $130.66 | |
Cigna
| Facility | $137.60 | $137.60 | $137.60 | |
Cigna
| Professional | $26.02 | $26.02 | $32.52 | |
MVP Health Care
| Facility | $137.60 | $137.60 | $137.60 | |
MVP Health Care
| Professional | $13.50 | $26.02 | $32.52 |