| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.54 | $127.24 | $167.85 | |
BCBS
| Facility | $129.66 | $129.66 | $129.66 | |
Cigna
| Facility | $108.05 | $141.85 | $236.41 | |
Cigna
| Professional | $114.54 | $114.54 | $114.54 | |
MVP Health Care
| Facility | $108.05 | $141.85 | $236.41 | |
MVP Health Care
| Professional | $114.54 | $114.54 | $114.54 | |
United
| Professional | $108.81 | $114.54 | $243.78 |