| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $107.15 | $162.18 | |
BCBS
| Facility | $537.03 | $537.03 | $537.03 | |
BCBS
| Professional | $138.04 | $138.04 | $478.63 | |
Cigna
| Facility | $933.25 | $933.25 | $933.25 | |
Cigna
| Professional | $123.03 | $144.54 | $331.13 | |
MVP Health Care
| Professional | $104.71 | $104.71 | $478.63 | |
United
| Professional | $114.82 | $141.25 | $346.74 |