| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.00 | $42.00 | $42.00 | |
Aetna
| Professional | $5.25 | $30.54 | $107.23 | |
BCBS
| Facility | $525.00 | $525.00 | $525.00 | |
Cigna
| Professional | $59.25 | $150.94 | $150.94 | |
MVP Health Care
| Professional | $59.25 | $150.94 | $150.94 |