| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $100.00 | $115.39 | |
BCBS
| Professional | $165.81 | $165.81 | $165.81 | |
Cigna
| Facility | $149.11 | $149.11 | $149.11 | |
Cigna
| Professional | $108.85 | $121.20 | $153.58 | |
MVP Health Care
| Facility | $149.11 | $149.11 | $149.11 | |
MVP Health Care
| Professional | $108.85 | $149.11 | $153.58 | |
United
| Professional | $70.89 | $154.00 | $236.90 |