| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.40 | $57.08 | $65.87 | |
BCBS
| Professional | $94.65 | $94.65 | $94.65 | |
Cigna
| Facility | $68.22 | $68.22 | $85.98 | |
Cigna
| Professional | $49.80 | $62.94 | $72.72 | |
MVP Health Care
| Facility | $68.22 | $68.22 | $85.98 | |
MVP Health Care
| Professional | $49.80 | $68.22 | $73.06 | |
United
| Professional | $40.47 | $69.29 | $135.22 |