| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.01 | $68.01 | $352.29 | |
BCBS
| Facility | $194.84 | $363.23 | $465.21 | |
BCBS
| Professional | $93.36 | $110.05 | $259.32 | |
Cigna
| Facility | $359.92 | $359.92 | $359.92 | |
Cigna
| Professional | $87.32 | $100.35 | $259.32 | |
MVP Health Care
| Facility | $359.92 | $359.92 | $359.92 | |
MVP Health Care
| Professional | $72.84 | $91.90 | $259.32 | |
United
| Professional | $64.23 | $89.67 | $150.71 |