| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.63 | $65.63 | $112.92 | |
BCBS
| Facility | $74.29 | $74.29 | $74.29 | |
Cigna
| Facility | $61.91 | $72.31 | $120.52 | |
Cigna
| Professional | $65.63 | $65.63 | $65.63 | |
MVP Health Care
| Facility | $61.91 | $72.31 | $120.52 | |
MVP Health Care
| Professional | $65.63 | $65.63 | $65.63 | |
United
| Professional | $62.35 | $65.63 | $100.96 |