| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.64 | $102.36 | $137.09 | |
BCBS
| Professional | $155.04 | $155.04 | $155.04 | |
Cigna
| Facility | $129.12 | $129.12 | $131.69 | |
Cigna
| Professional | $109.75 | $129.12 | $132.99 | |
MVP Health Care
| Facility | $129.12 | $129.12 | $131.69 | |
MVP Health Care
| Professional | $129.12 | $129.12 | $132.99 | |
United
| Professional | $53.98 | $134.96 | $212.29 |