| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.30 | $162.19 | $477.94 | |
BCBS
| Facility | $179.72 | $223.24 | $339.14 | |
Cigna
| Facility | $124.40 | $124.40 | $124.40 | |
Cigna
| Professional | $136.41 | $149.74 | $181.64 | |
MVP Health Care
| Facility | $124.40 | $124.40 | $124.40 | |
MVP Health Care
| Professional | $58.38 | $149.74 | $181.64 | |
United
| Professional | $32.47 | $99.25 | $334.49 |