| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.55 | $207.02 | $234.55 | |
Aetna
| Professional | $31.51 | $31.51 | $31.51 | |
BCBS
| Facility | $139.97 | $233.91 | $380.72 | |
BCBS
| Professional | $24.09 | $24.09 | $24.09 | |
Cigna
| Facility | $40.32 | $40.32 | $401.00 | |
Cigna
| Professional | $12.52 | $27.67 | $34.59 | |
MVP Health Care
| Facility | $40.32 | $40.32 | $401.00 | |
MVP Health Care
| Professional | $12.52 | $27.67 | $34.59 | |
United
| Professional | $12.60 | $15.14 | $35.32 |