| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.27 | $66.48 | $420.27 | |
BCBS
| Facility | $389.11 | $389.11 | $389.11 | |
Cigna
| Facility | $109.39 | $109.39 | $409.80 | |
Cigna
| Professional | $122.63 | $134.60 | $162.99 | |
MVP Health Care
| Facility | $109.39 | $109.39 | $409.80 | |
MVP Health Care
| Professional | $52.45 | $134.60 | $162.99 | |
United
| Professional | $28.55 | $89.17 | $294.12 |