| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.25 | $130.60 | $150.69 | |
BCBS
| Facility | $139.18 | $139.18 | $161.11 | |
BCBS
| Professional | $216.52 | $216.52 | $216.52 | |
Cigna
| Facility | $135.00 | $135.00 | $196.69 | |
Cigna
| Professional | $98.55 | $203.45 | $219.65 | |
MVP Health Care
| Facility | $135.00 | $135.00 | $196.69 | |
MVP Health Care
| Professional | $135.00 | $206.12 | $219.65 | |
United
| Professional | $92.57 | $158.53 | $309.38 |