| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $168.79 | $168.79 | $194.75 | |
BCBS
| Professional | $279.85 | $279.85 | $279.85 | |
Cigna
| Facility | $174.32 | $174.32 | $254.21 | |
Cigna
| Professional | $127.25 | $174.32 | $185.83 | |
MVP Health Care
| Facility | $174.32 | $174.32 | $254.21 | |
MVP Health Care
| Professional | $127.25 | $174.32 | $185.83 | |
United
| Professional | $115.04 | $204.88 | $399.85 |