| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $48.98 | $57.54 | |
BCBS
| Facility | $616.60 | $616.60 | $794.33 | |
Cigna
| Facility | $85.11 | $85.11 | $85.11 | |
Cigna
| Professional | $51.29 | $51.29 | $114.82 | |
MVP Health Care
| Facility | $51.29 | $51.29 | $51.29 | |
MVP Health Care
| Professional | $51.29 | $51.29 | $51.29 | |
United
| Professional | $22.39 | $51.29 | $117.49 |