| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.15 | $28.32 | $28.32 | |
BCBS
| Professional | $35.00 | $35.00 | $35.00 | |
Cigna
| Facility | $25.90 | $25.90 | $34.00 | |
Cigna
| Professional | $22.02 | $25.90 | $34.00 | |
MVP Health Care
| Facility | $25.90 | $25.90 | $34.00 | |
MVP Health Care
| Professional | $25.90 | $25.90 | $34.00 | |
United
| Professional | $14.28 | $27.06 | $38.24 |