| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.52 | $89.52 | $89.52 | |
BCBS
| Professional | $72.19 | $72.19 | $72.19 | |
Cigna
| Facility | $120.82 | $120.82 | $120.82 | |
Cigna
| Professional | $34.29 | $83.01 | $103.77 | |
MVP Health Care
| Facility | $120.82 | $120.82 | $120.82 | |
MVP Health Care
| Professional | $34.29 | $83.01 | $103.77 | |
United
| Professional | $43.31 | $43.31 | $101.07 |