| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $89.67 | $261.00 | |
BCBS
| Facility | $164.59 | $164.59 | $191.36 | |
Cigna
| Facility | $83.92 | $83.92 | $83.92 | |
Cigna
| Professional | $105.73 | $132.16 | $139.68 | |
MVP Health Care
| Facility | $83.92 | $83.92 | $83.92 | |
MVP Health Care
| Professional | $105.73 | $132.16 | $139.68 |