| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.46 | $108.47 | $187.74 | |
BCBS
| Professional | $141.18 | $141.18 | $141.18 | |
Cigna
| Facility | $102.33 | $170.27 | $283.79 | |
Cigna
| Professional | $108.47 | $108.47 | $283.79 | |
MVP Health Care
| Facility | $102.33 | $170.27 | $283.79 | |
MVP Health Care
| Professional | $108.47 | $108.47 | $283.79 | |
United
| Professional | $108.47 | $114.98 | $376.07 |