| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $389.05 | |
Aetna
| Professional | $38.02 | $75.86 | $173.78 | |
Aetna
| Professional | 50 | $51.29 | $165.96 | $295.12 |
BCBS
| Facility | $389.05 | $389.05 | $489.78 | |
BCBS
| Professional | $75.86 | $89.13 | $288.40 | |
Cigna
| Professional | $38.90 | $64.57 | $97.72 | |
MVP Health Care
| Professional | $52.48 | $69.18 | $89.13 | |
United
| Professional | $48.98 | $69.18 | $120.23 |