| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $104.71 | $120.23 | |
BCBS
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Facility | $100.00 | $112.20 | $112.20 | |
Cigna
| Professional | $104.71 | $104.71 | $112.20 | |
MVP Health Care
| Professional | $109.65 | $109.65 | $109.65 | |
United
| Professional | $100.00 | $107.15 | $117.49 |