| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.49 | $92.93 | $135.90 | |
BCBS
| Facility | $407.06 | $407.06 | $415.09 | |
Cigna
| Facility | $436.20 | $436.20 | $436.20 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
MVP Health Care
| Facility | $436.20 | $436.20 | $436.20 | |
MVP Health Care
| Professional | $92.77 | $92.77 | $92.77 | |
United
| Professional | $78.69 | $130.53 | $200.80 |