| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $749.00 | $749.00 | $749.00 | |
Cigna
| Facility | $59.20 | $59.20 | $59.20 | |
Cigna
| Professional | $2,995.49 | $2,995.49 | $3,744.36 | |
MVP Health Care
| Facility | $59.20 | $59.20 | $59.20 | |
MVP Health Care
| Professional | $36.90 | $2,995.49 | $3,744.36 |