| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.30 | $133.72 | $302.20 | |
BCBS
| Facility | $100.73 | $100.73 | $128.99 | |
Cigna
| Facility | $78.67 | $78.67 | $78.67 | |
Cigna
| Professional | $105.41 | $105.41 | $105.41 | |
MVP Health Care
| Facility | $78.67 | $78.67 | $78.67 | |
MVP Health Care
| Professional | $30.55 | $30.55 | $105.41 | |
United
| Professional | $20.53 | $47.00 | $108.59 |