| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.43 | $51.43 | $51.43 | |
Aetna
| Professional | $42.13 | $42.13 | $46.34 | |
BCBS
| Facility | $52.76 | $56.55 | $64.95 | |
Cigna
| Professional | $42.13 | $59.10 | $73.88 | |
MVP Health Care
| Professional | $27.38 | $42.13 | $73.88 | |
United
| Professional | $24.89 | $25.81 | $60.09 |