| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.94 | $56.16 | $64.80 | |
BCBS
| Facility | $133.31 | $133.31 | $154.33 | |
BCBS
| Professional | $93.10 | $93.10 | $93.10 | |
Cigna
| Facility | $65.81 | $65.81 | $383.66 | |
Cigna
| Professional | $48.04 | $65.81 | $70.16 | |
MVP Health Care
| Facility | $65.81 | $65.81 | $383.66 | |
MVP Health Care
| Professional | $48.04 | $65.81 | $71.19 | |
United
| Professional | $39.79 | $68.17 | $133.05 |