| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $104.71 | $331.13 | |
Aetna
| Professional | 50 | $74.13 | $165.96 | $512.86 |
BCBS
| Facility | $870.96 | $870.96 | $1,174.90 | |
BCBS
| Professional | $199.53 | $199.53 | $331.13 | |
Cigna
| Professional | $58.88 | $102.33 | $165.96 | |
MVP Health Care
| Professional | $91.20 | $123.03 | $151.36 | |
United
| Professional | $61.66 | $120.23 | $208.93 |