| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.93 | $74.93 | $86.45 | |
BCBS
| Professional | $124.22 | $124.22 | $124.22 | |
Cigna
| Facility | $99.32 | $99.32 | $112.85 | |
Cigna
| Professional | $72.50 | $95.61 | $105.87 | |
MVP Health Care
| Facility | $99.32 | $99.32 | $112.85 | |
MVP Health Care
| Professional | $72.50 | $99.32 | $105.87 | |
United
| Professional | $69.16 | $115.42 | $177.51 |