| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.00 | $125.00 | $125.00 | |
BCBS
| Professional | $54.30 | $54.30 | $54.30 | |
Cigna
| Facility | $90.90 | $90.90 | $90.90 | |
Cigna
| Professional | $62.36 | $62.36 | $77.95 | |
MVP Health Care
| Facility | $90.90 | $90.90 | $90.90 | |
MVP Health Care
| Professional | $35.29 | $62.36 | $77.95 | |
United
| Professional | $32.58 | $32.58 | $76.02 |