| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.67 | $34.83 | $45.92 | |
BCBS
| Facility | $26.45 | $28.07 | $40.01 | |
Cigna
| Facility | $40.01 | $40.01 | $66.68 | |
Cigna
| Professional | $32.76 | $32.76 | $32.76 | |
MVP Health Care
| Facility | $40.01 | $40.01 | $66.68 | |
MVP Health Care
| Professional | $32.76 | $32.76 | $32.76 | |
United
| Professional | $0.10 | $30.43 | $53.76 |