| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.68 | $92.68 | $106.94 | |
BCBS
| Professional | $153.66 | $153.66 | $153.66 | |
Cigna
| Facility | $129.63 | $129.63 | $129.63 | |
Cigna
| Professional | $89.37 | $94.64 | $134.37 | |
MVP Health Care
| Facility | $129.63 | $129.63 | $129.63 | |
MVP Health Care
| Professional | $89.37 | $94.64 | $134.37 | |
United
| Professional | $78.75 | $142.72 | $219.56 |