| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.41 | $150.10 | $173.19 | |
BCBS
| Professional | $248.84 | $248.84 | $248.84 | |
Cigna
| Facility | $175.81 | $175.81 | $226.06 | |
Cigna
| Professional | $128.34 | $165.76 | $191.33 | |
MVP Health Care
| Facility | $175.81 | $175.81 | $226.06 | |
MVP Health Care
| Professional | $128.34 | $175.81 | $191.33 | |
United
| Professional | $106.39 | $182.20 | $355.58 |