| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.26 | $50.53 | $67.68 | |
BCBS
| Professional | $70.75 | $70.75 | $70.75 | |
Cigna
| Facility | $57.45 | $57.45 | $76.92 | |
Cigna
| Professional | $48.83 | $57.45 | $76.92 | |
MVP Health Care
| Facility | $57.45 | $57.45 | $76.92 | |
MVP Health Care
| Professional | $57.45 | $57.45 | $76.92 | |
United
| Professional | $28.88 | $73.56 | $104.81 |