| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.87 | $50.58 | $422.39 | |
BCBS
| Facility | $591.37 | $591.37 | $591.37 | |
Cigna
| Facility | $109.95 | $109.95 | $622.79 | |
Cigna
| Professional | $92.09 | $101.09 | $147.58 | |
MVP Health Care
| Facility | $109.95 | $109.95 | $622.79 | |
MVP Health Care
| Professional | $40.00 | $101.09 | $147.58 | |
United
| Professional | $28.69 | $67.13 | $295.61 |