| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.68 | $67.68 | $78.09 | |
BCBS
| Professional | $112.21 | $112.21 | $112.21 | |
Cigna
| Facility | $86.66 | $86.66 | $101.94 | |
Cigna
| Professional | $63.26 | $86.66 | $89.26 | |
MVP Health Care
| Facility | $86.66 | $86.66 | $101.94 | |
MVP Health Care
| Professional | $63.26 | $86.66 | $89.26 | |
United
| Professional | $46.13 | $87.79 | $160.34 |