| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.64 | $66.64 | $123.11 | |
BCBS
| Facility | $75.44 | $75.44 | $75.44 | |
Cigna
| Facility | $62.87 | $73.75 | $122.92 | |
Cigna
| Professional | $66.64 | $66.64 | $66.64 | |
MVP Health Care
| Facility | $62.87 | $73.75 | $122.92 | |
MVP Health Care
| Professional | $66.64 | $66.64 | $66.64 | |
United
| Professional | $63.31 | $74.64 | $102.51 |