| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $19.00 | $139.38 | |
BCBS
| Facility | $155.93 | $155.93 | $168.46 | |
Cigna
| Facility | $83.92 | $83.92 | $83.92 | |
Cigna
| Professional | $62.78 | $78.47 | $89.79 | |
MVP Health Care
| Facility | $83.92 | $83.92 | $83.92 | |
MVP Health Care
| Professional | $62.78 | $78.47 | $89.79 |