| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.30 | $103.53 | $252.76 | |
BCBS
| Facility | $100.73 | $100.73 | $128.99 | |
Cigna
| Facility | $65.79 | $65.79 | $65.79 | |
Cigna
| Professional | $88.39 | $88.39 | $88.39 | |
MVP Health Care
| Facility | $65.79 | $65.79 | $65.79 | |
MVP Health Care
| Professional | $25.55 | $25.55 | $88.39 | |
United
| Professional | $17.17 | $55.03 | $140.00 |