| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.16 | $107.97 | $142.33 | |
BCBS
| Facility | $105.46 | $105.46 | $188.95 | |
Cigna
| Facility | $105.46 | $105.46 | $139.99 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
MVP Health Care
| Facility | $105.46 | $105.46 | $139.99 | |
MVP Health Care
| Professional | $96.58 | $96.58 | $96.58 | |
United
| Professional | $81.92 | $103.33 | $158.94 |