| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $104.71 | $120.23 | |
BCBS
| Professional | $141.25 | $141.25 | $141.25 | |
Cigna
| Facility | $97.72 | $123.03 | $123.03 | |
Cigna
| Professional | $104.71 | $104.71 | $134.90 | |
MVP Health Care
| Professional | $204.17 | $204.17 | $281.84 | |
United
| Professional | $104.71 | $109.65 | $363.08 |