| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.73 | $92.73 | $107.00 | |
BCBS
| Professional | $153.74 | $153.74 | $153.74 | |
Cigna
| Facility | $67.73 | $67.73 | $67.73 | |
Cigna
| Professional | $57.58 | $57.58 | $69.77 | |
MVP Health Care
| Facility | $67.73 | $67.73 | $67.73 | |
MVP Health Care
| Professional | $57.58 | $67.73 | $69.77 | |
United
| Professional | $63.20 | $130.75 | $219.67 |