| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.38 | $72.38 | $89.52 | |
BCBS
| Professional | $120.00 | $120.00 | $120.00 | |
Cigna
| Facility | $102.60 | $102.60 | $109.02 | |
Cigna
| Professional | $74.90 | $102.60 | $120.31 | |
MVP Health Care
| Facility | $102.60 | $102.60 | $109.02 | |
MVP Health Care
| Professional | $74.90 | $102.60 | $120.31 | |
United
| Professional | $64.01 | $111.47 | $171.48 |