| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $42.66 | |
Aetna
| Professional | $41.69 | $41.69 | $56.23 | |
BCBS
| Facility | $46.77 | $54.95 | $64.57 | |
Cigna
| Professional | $42.66 | $48.98 | $60.26 | |
MVP Health Care
| Facility | $42.66 | $42.66 | $42.66 | |
United
| Facility | $14.79 | $14.79 | $14.79 | |
United
| Professional | $18.62 | $26.30 | $85.11 |