| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.68 | $63.68 | $107.32 | |
BCBS
| Facility | $72.09 | $72.09 | $72.09 | |
Cigna
| Facility | $60.08 | $65.06 | $108.45 | |
Cigna
| Professional | $63.68 | $63.68 | $63.68 | |
MVP Health Care
| Facility | $60.08 | $65.06 | $108.45 | |
MVP Health Care
| Professional | $63.68 | $63.68 | $63.68 | |
United
| Professional | $52.06 | $71.31 | $117.28 |