| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.30 | $83.30 | $235.47 | |
BCBS
| Facility | $100.73 | $100.73 | $128.99 | |
Cigna
| Facility | $61.29 | $61.29 | $61.29 | |
Cigna
| Professional | $81.90 | $81.90 | $81.90 | |
MVP Health Care
| Facility | $61.29 | $61.29 | $61.29 | |
MVP Health Care
| Professional | $23.80 | $23.80 | $81.90 | |
United
| Professional | $16.00 | $36.61 | $164.79 |