| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.28 | $87.28 | $149.36 | |
BCBS
| Facility | $98.81 | $98.81 | $98.81 | |
Cigna
| Facility | $82.34 | $96.00 | $160.00 | |
Cigna
| Professional | $87.28 | $87.28 | $87.28 | |
MVP Health Care
| Facility | $82.34 | $96.00 | $160.00 | |
MVP Health Care
| Professional | $87.28 | $87.28 | $87.28 | |
United
| Professional | $76.34 | $87.28 | $90.77 |