| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.79 | $30.79 | $30.79 | |
BCBS
| Facility | $136.79 | $300.97 | $314.74 | |
Cigna
| Facility | $36.67 | $36.67 | $36.67 | |
Cigna
| Professional | $12.17 | $25.19 | $31.49 | |
MVP Health Care
| Facility | $36.67 | $36.67 | $36.67 | |
MVP Health Care
| Professional | $12.17 | $25.19 | $31.49 | |
United
| Professional | $13.14 | $14.79 | $34.51 |