| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.86 | $133.47 | $178.76 | |
BCBS
| Professional | $165.72 | $165.72 | $165.72 | |
Cigna
| Facility | $123.59 | $123.59 | $123.59 | |
Cigna
| Professional | $105.05 | $123.59 | $127.30 | |
MVP Health Care
| Facility | $123.59 | $123.59 | $123.59 | |
MVP Health Care
| Professional | $123.59 | $123.59 | $127.30 | |
United
| Professional | $67.69 | $215.13 | $224.08 |