| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.32 | $106.33 | $994.75 | |
BCBS
| Professional | $140.66 | $140.66 | $140.66 | |
Cigna
| Facility | $100.32 | $185.21 | $308.69 | |
Cigna
| Professional | $106.33 | $106.33 | $308.69 | |
MVP Health Care
| Facility | $100.32 | $185.21 | $308.69 | |
MVP Health Care
| Professional | $106.33 | $106.33 | $308.69 | |
United
| Professional | $106.33 | $112.71 | $318.99 |