| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.51 | $31.51 | $31.51 | |
BCBS
| Facility | $139.97 | $307.86 | $321.61 | |
Cigna
| Facility | $73.70 | $73.70 | $73.70 | |
Cigna
| Professional | $12.52 | $28.54 | $62.98 | |
MVP Health Care
| Facility | $73.70 | $73.70 | $73.70 | |
MVP Health Care
| Professional | $12.52 | $28.54 | $62.98 | |
United
| Professional | $12.60 | $19.23 | $40.57 |