| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.91 | $84.32 | $125.69 | |
BCBS
| Facility | $85.93 | $85.93 | $85.93 | |
Cigna
| Facility | $71.61 | $83.07 | $138.44 | |
Cigna
| Professional | $75.91 | $75.91 | $75.91 | |
MVP Health Care
| Facility | $71.61 | $83.07 | $138.44 | |
MVP Health Care
| Professional | $75.91 | $75.91 | $75.91 | |
United
| Professional | $72.11 | $75.91 | $116.77 |