| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.52 | $447.52 | $447.52 | |
Aetna
| Professional | $37.34 | $49.53 | $49.53 | |
BCBS
| Facility | $220.04 | $290.76 | $505.66 | |
Cigna
| Facility | $131.84 | $131.84 | $131.84 | |
Cigna
| Professional | $19.72 | $44.85 | $113.58 | |
MVP Health Care
| Facility | $131.84 | $131.84 | $131.84 | |
MVP Health Care
| Professional | $13.50 | $44.85 | $113.58 | |
United
| Professional | $23.79 | $39.65 | $63.73 |