| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.99 | $90.99 | $112.75 | |
BCBS
| Facility | $95.80 | $95.80 | $190.05 | |
BCBS
| Professional | $150.83 | $150.83 | $150.83 | |
Cigna
| Facility | $106.63 | $106.63 | $137.04 | |
Cigna
| Professional | $77.84 | $106.18 | $113.67 | |
MVP Health Care
| Facility | $106.63 | $106.63 | $137.04 | |
MVP Health Care
| Professional | $77.84 | $106.63 | $121.71 | |
United
| Professional | $77.30 | $150.19 | $155.02 |