| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.88 | $121.02 | $136.02 | |
BCBS
| Professional | $166.80 | $166.80 | $166.80 | |
Cigna
| Facility | $106.02 | $127.07 | $127.07 | |
Cigna
| Professional | $92.76 | $92.76 | $92.76 | |
MVP Health Care
| Facility | $106.02 | $127.07 | $127.07 | |
MVP Health Care
| Professional | $92.76 | $92.76 | $92.76 | |
United
| Professional | $68.56 | $137.16 | $248.22 |