| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $75.86 | $130.33 | |
BCBS
| Facility | $85.88 | $85.88 | $85.88 | |
Cigna
| Facility | $71.56 | $81.81 | $136.35 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
MVP Health Care
| Facility | $71.56 | $81.81 | $136.35 | |
MVP Health Care
| Professional | $75.86 | $75.86 | $75.86 | |
United
| Professional | $75.86 | $78.89 | $87.14 |