| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.90 | $432.90 | $452.02 | |
Aetna
| Professional | $46.12 | $50.24 | $75.23 | |
BCBS
| Facility | $209.09 | $218.21 | $435.61 | |
BCBS
| Professional | $15.32 | $15.32 | $15.32 | |
Cigna
| Facility | $58.79 | $58.79 | $312.00 | |
Cigna
| Professional | $20.58 | $45.66 | $58.85 | |
MVP Health Care
| Facility | $58.79 | $58.79 | $312.00 | |
MVP Health Care
| Professional | $15.00 | $45.66 | $58.85 | |
United
| Professional | $20.82 | $28.37 | $61.09 |