| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $100.00 | $165.96 | |
Aetna
| Professional | $6.03 | $7.08 | $14.13 | |
BCBS
| Facility | $63.10 | $104.71 | $138.04 | |
BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Facility | $13.80 | $117.49 | $117.49 | |
Cigna
| Professional | $5.62 | $9.55 | $13.18 | |
MVP Health Care
| Facility | $8.13 | $8.13 | $8.13 | |
United
| Facility | $2.88 | $2.88 | $2.88 | |
United
| Professional | $3.47 | $7.08 | $22.39 |