| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.73 | $69.73 | $141.51 | |
BCBS
| Facility | $78.94 | $78.94 | $78.94 | |
Cigna
| Facility | $65.78 | $90.00 | $149.99 | |
Cigna
| Professional | $69.73 | $69.73 | $69.73 | |
MVP Health Care
| Facility | $65.78 | $90.00 | $149.99 | |
MVP Health Care
| Professional | $69.73 | $69.73 | $69.73 | |
United
| Professional | $66.23 | $69.73 | $139.76 |