| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.11 | $85.11 | $100.00 | |
BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
Cigna
| Facility | $81.28 | $109.65 | $109.65 | |
Cigna
| Professional | $87.10 | $87.10 | $112.20 | |
MVP Health Care
| Professional | $204.17 | $204.17 | $1,949.84 | |
United
| Professional | $87.10 | $91.20 | $616.60 |