| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.45 | $124.93 | $196.68 | |
BCBS
| Facility | $50.36 | $50.36 | $127.31 | |
Cigna
| Facility | $106.09 | $145.71 | $242.85 | |
Cigna
| Professional | $112.45 | $112.45 | $112.45 | |
MVP Health Care
| Facility | $106.09 | $145.71 | $242.85 | |
MVP Health Care
| Professional | $112.45 | $112.45 | $112.45 | |
United
| Professional | $106.83 | $112.45 | $367.84 |