| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $114.82 | $204.17 | |
BCBS
| Facility | $616.60 | $616.60 | $616.60 | |
Cigna
| Facility | $204.17 | $707.95 | $707.95 | |
Cigna
| Professional | $79.43 | $190.55 | $302.00 | |
MVP Health Care
| Facility | $123.03 | $123.03 | $123.03 | |
MVP Health Care
| Professional | $123.03 | $123.03 | $165.96 | |
United
| Professional | $53.70 | $165.96 | $331.13 |