| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.79 | $124.79 | $143.99 | |
BCBS
| Professional | $206.91 | $206.91 | $206.91 | |
Cigna
| Facility | $142.94 | $142.94 | $187.96 | |
Cigna
| Professional | $104.35 | $142.94 | $147.24 | |
MVP Health Care
| Facility | $142.94 | $142.94 | $187.96 | |
MVP Health Care
| Professional | $104.35 | $142.94 | $147.24 | |
United
| Professional | $88.46 | $151.49 | $295.63 |