| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.34 | $99.26 | $100.33 | |
BCBS
| Facility | $101.14 | $101.14 | $101.14 | |
Cigna
| Facility | $22.62 | $37.70 | $84.29 | |
Cigna
| Professional | $89.34 | $89.34 | $89.34 | |
MVP Health Care
| Facility | $22.62 | $37.70 | $84.29 | |
MVP Health Care
| Professional | $89.34 | $89.34 | $89.34 | |
United
| Professional | $89.34 | $94.70 | $137.43 |