| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.46 | $58.46 | $328.38 | |
BCBS
| Facility | $775.22 | $775.22 | $992.82 | |
Cigna
| Facility | $85.49 | $85.49 | $85.49 | |
Cigna
| Professional | $115.14 | $115.14 | $115.14 | |
MVP Health Care
| Facility | $85.49 | $85.49 | $85.49 | |
MVP Health Care
| Professional | $33.20 | $33.20 | $115.14 | |
United
| Professional | $22.31 | $51.07 | $229.82 |