| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $109.65 | $131.83 | |
BCBS
| Facility | $398.11 | $426.58 | $426.58 | |
Cigna
| Facility | $229.09 | $457.09 | $457.09 | |
Cigna
| Professional | $134.90 | $138.04 | $309.03 | |
MVP Health Care
| Facility | $138.04 | $138.04 | $138.04 | |
MVP Health Care
| Professional | $138.04 | $138.04 | $138.04 | |
United
| Professional | $60.26 | $138.04 | $316.23 |