| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.11 | $117.11 | $117.11 | |
BCBS
| Facility | $283.23 | $283.23 | $296.17 | |
Cigna
| Facility | $137.04 | $137.04 | $293.50 | |
Cigna
| Professional | $48.01 | $94.16 | $117.71 | |
MVP Health Care
| Facility | $137.04 | $137.04 | $293.50 | |
MVP Health Care
| Professional | $48.01 | $94.16 | $117.71 | |
United
| Professional | $49.13 | $56.66 | $132.22 |