| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.66 | $125.89 | $125.89 | |
BCBS
| Professional | $53.70 | $53.70 | $53.70 | |
Cigna
| Facility | $91.20 | $91.20 | $91.20 | |
Cigna
| Professional | $61.66 | $61.66 | $77.62 | |
MVP Health Care
| Facility | $53.70 | $53.70 | $53.70 | |
United
| Facility | $19.05 | $19.05 | $19.05 | |
United
| Professional | $23.99 | $32.36 | $83.18 |