| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $660.69 | $758.58 | |
Aetna
| Professional | $39.81 | $77.62 | $177.83 | |
Aetna
| Professional | 50 | $79.43 | $173.78 | $323.59 |
BCBS
| Facility | $467.74 | $467.74 | $575.44 | |
BCBS
| Professional | $79.43 | $93.33 | $208.93 | |
Cigna
| Professional | $40.74 | $70.79 | $102.33 | |
MVP Health Care
| Professional | $53.70 | $70.79 | $91.20 | |
United
| Professional | $51.29 | $74.13 | $125.89 |