| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.38 | $77.41 | $102.05 | |
BCBS
| Facility | $88.90 | $88.90 | $159.27 | |
Cigna
| Facility | $88.90 | $88.90 | $148.16 | |
Cigna
| Professional | $80.88 | $80.88 | $80.88 | |
MVP Health Care
| Facility | $88.90 | $88.90 | $148.16 | |
MVP Health Care
| Professional | $80.88 | $80.88 | $80.88 | |
United
| Professional | $68.62 | $86.54 | $133.13 |