| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.44 | $173.44 | $173.44 | |
Aetna
| Professional | $64.47 | $115.34 | $154.00 | |
BCBS
| Facility | $74.80 | $285.23 | $672.53 | |
BCBS
| Professional | $204.79 | $248.64 | $759.88 | |
Cigna
| Professional | $75.23 | $149.60 | $401.14 | |
MVP Health Care
| Professional | $77.70 | $162.97 | $401.14 | |
United
| Professional | $116.60 | $189.63 | $451.96 |