| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $741.31 | |
Aetna
| Professional | $28.18 | $36.31 | $42.66 | |
BCBS
| Facility | $223.87 | $223.87 | $223.87 | |
Cigna
| Facility | $75.86 | $257.04 | $257.04 | |
Cigna
| Professional | $44.67 | $44.67 | $100.00 | |
MVP Health Care
| Facility | $44.67 | $44.67 | $44.67 | |
MVP Health Care
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Professional | $19.50 | $44.67 | $104.71 |