| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $57.54 | $66.07 | |
BCBS
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Facility | $54.95 | $64.57 | $64.57 | |
Cigna
| Professional | $57.54 | $57.54 | $64.57 | |
MVP Health Care
| Professional | $57.54 | $57.54 | $57.54 | |
United
| Professional | $54.95 | $57.54 | $67.61 |