| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.00 | $175.00 | $175.00 | |
BCBS
| Facility | $117.54 | $125.05 | $371.14 | |
BCBS
| Professional | $153.50 | $153.50 | $153.50 | |
Cigna
| Facility | $256.93 | $256.93 | $390.90 | |
Cigna
| Professional | $176.76 | $176.76 | $220.96 | |
MVP Health Care
| Facility | $256.93 | $256.93 | $390.90 | |
MVP Health Care
| Professional | $99.78 | $176.76 | $220.96 | |
United
| Professional | $92.10 | $92.10 | $214.90 |