| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.20 | $11.20 | $11.20 | |
BCBS
| Facility | $49.75 | $108.35 | $113.51 | |
Cigna
| Facility | $15.81 | $15.81 | $15.81 | |
Cigna
| Professional | $4.63 | $10.60 | $13.42 | |
MVP Health Care
| Facility | $15.81 | $15.81 | $15.81 | |
MVP Health Care
| Professional | $4.63 | $10.60 | $13.42 | |
United
| Professional | $4.12 | $5.66 | $25.59 |