| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.58 | $200.16 | $211.56 | |
Aetna
| Professional | 26 | $42.60 | $49.70 | $50.91 |
BCBS
| Facility | 26 | $290.63 | $290.63 | $290.63 |
BCBS
| Professional | $246.12 | $290.11 | $956.57 | |
Cigna
| Professional | $273.37 | $314.70 | $956.57 | |
Cigna
| Professional | 26 | $66.41 | $80.12 | $250.40 |
MVP Health Care
| Professional | $250.34 | $314.39 | $956.57 | |
MVP Health Care
| Professional | 26 | $66.41 | $78.68 | $250.40 |
United
| Professional | $196.42 | $290.27 | $845.85 | |
United
| Professional | 26 | $61.03 | $81.68 | $266.36 |