| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.91 | $112.91 | $130.28 | |
BCBS
| Professional | $187.20 | $187.20 | $187.20 | |
Cigna
| Facility | $166.23 | $166.23 | $170.06 | |
Cigna
| Professional | $121.35 | $166.23 | $177.21 | |
MVP Health Care
| Facility | $166.23 | $166.23 | $170.06 | |
MVP Health Care
| Professional | $121.35 | $166.23 | $177.21 | |
United
| Professional | $76.95 | $146.46 | $267.48 |