| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.58 | $66.48 | $280.67 | |
BCBS
| Facility | $206.29 | $206.29 | $264.20 | |
Cigna
| Facility | $73.05 | $73.05 | $73.05 | |
Cigna
| Professional | $81.75 | $89.73 | $108.66 | |
MVP Health Care
| Facility | $73.05 | $73.05 | $73.05 | |
MVP Health Care
| Professional | $35.03 | $89.73 | $108.66 | |
United
| Professional | $19.07 | $59.55 | $196.43 |