| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.93 | $87.69 | $134.74 | |
BCBS
| Facility | $89.36 | $89.36 | $89.36 | |
Cigna
| Facility | $74.47 | $90.27 | $150.44 | |
Cigna
| Professional | $78.93 | $78.93 | $78.93 | |
MVP Health Care
| Facility | $74.47 | $90.27 | $150.44 | |
MVP Health Care
| Professional | $78.93 | $78.93 | $78.93 | |
United
| Professional | $74.98 | $78.93 | $82.09 |