| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.95 | $74.95 | $92.90 | |
BCBS
| Professional | $124.28 | $124.28 | $124.28 | |
Cigna
| Facility | $88.85 | $88.85 | $112.90 | |
Cigna
| Professional | $64.86 | $87.44 | $94.72 | |
MVP Health Care
| Facility | $88.85 | $88.85 | $112.90 | |
MVP Health Care
| Professional | $64.86 | $88.85 | $94.72 | |
United
| Professional | $51.09 | $90.99 | $177.58 |