| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.96 | $115.67 | $133.46 | |
BCBS
| Professional | $191.77 | $191.77 | $191.77 | |
Cigna
| Facility | $138.33 | $138.33 | $203.46 | |
Cigna
| Professional | $100.98 | $100.98 | $120.11 | |
MVP Health Care
| Facility | $138.33 | $138.33 | $203.46 | |
MVP Health Care
| Professional | $100.98 | $100.98 | $120.11 | |
United
| Professional | $81.99 | $140.41 | $274.02 |