| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.50 | $98.79 | $188.32 | |
BCBS
| Facility | $355.73 | $355.73 | $355.73 | |
Cigna
| Facility | $374.70 | $374.70 | $374.70 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
MVP Health Care
| Facility | $374.70 | $374.70 | $374.70 | |
MVP Health Care
| Professional | $21.70 | $21.70 | $21.70 |