| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.65 | $73.65 | $84.98 | |
BCBS
| Professional | $122.10 | $122.10 | $122.10 | |
Cigna
| Facility | $100.03 | $100.03 | $100.03 | |
Cigna
| Professional | $73.02 | $100.03 | $106.64 | |
MVP Health Care
| Facility | $100.03 | $100.03 | $100.03 | |
MVP Health Care
| Professional | $73.02 | $100.03 | $106.64 | |
United
| Professional | $50.20 | $103.83 | $174.46 |