| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.16 | $55.16 | $94.76 | |
BCBS
| Facility | $62.45 | $62.45 | $62.45 | |
Cigna
| Facility | $52.04 | $55.16 | $101.11 | |
Cigna
| Professional | $55.16 | $55.16 | $55.16 | |
MVP Health Care
| Facility | $52.04 | $55.16 | $101.11 | |
MVP Health Care
| Professional | $55.16 | $55.16 | $55.16 | |
United
| Professional | $52.40 | $55.16 | $58.47 |