| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.98 | $19.98 | $19.98 | |
BCBS
| Facility | $88.82 | $161.18 | $202.95 | |
Cigna
| Facility | $22.17 | $22.17 | $163.19 | |
Cigna
| Professional | $8.23 | $15.28 | $19.10 | |
MVP Health Care
| Facility | $22.17 | $22.17 | $163.19 | |
MVP Health Care
| Professional | $8.23 | $15.28 | $19.10 | |
United
| Professional | $7.95 | $9.61 | $22.41 |