| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.70 | $78.62 | $78.62 | |
BCBS
| Professional | $96.42 | $96.42 | $96.42 | |
Cigna
| Facility | $74.67 | $74.67 | $74.67 | |
Cigna
| Professional | $63.47 | $74.67 | $76.91 | |
MVP Health Care
| Facility | $74.67 | $74.67 | $74.67 | |
MVP Health Care
| Professional | $74.67 | $74.67 | $76.91 | |
United
| Professional | $39.34 | $84.93 | $108.41 |