| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.23 | $63.23 | $72.95 | |
BCBS
| Professional | $104.84 | $104.84 | $104.84 | |
Cigna
| Facility | $73.27 | $73.27 | $95.24 | |
Cigna
| Professional | $53.49 | $73.27 | $75.47 | |
MVP Health Care
| Facility | $73.27 | $73.27 | $95.24 | |
MVP Health Care
| Professional | $53.49 | $73.27 | $75.47 | |
United
| Professional | $43.10 | $76.76 | $149.80 |