| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.90 | $95.90 | $682.20 | |
BCBS
| Facility | $108.57 | $108.57 | $108.57 | |
Cigna
| Facility | $90.47 | $177.85 | $296.42 | |
Cigna
| Professional | $95.90 | $95.90 | $296.42 | |
MVP Health Care
| Facility | $90.47 | $177.85 | $296.42 | |
MVP Health Care
| Professional | $95.90 | $95.90 | $296.42 | |
United
| Professional | $95.90 | $101.65 | $287.70 |