| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
BCBS
| Facility | $137.63 | $137.63 | $159.34 | |
Cigna
| Professional | $117.89 | $117.89 | $117.89 | |
MVP Health Care
| Professional | $117.89 | $117.89 | $117.89 |