| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $229.09 | $229.09 | |
Aetna
| Professional | $16.98 | $20.89 | $144.54 | |
BCBS
| Facility | $169.82 | $218.78 | $389.05 | |
BCBS
| Professional | $21.88 | $21.88 | $21.88 | |
Cigna
| Facility | $37.15 | $251.19 | $251.19 | |
Cigna
| Professional | $15.14 | $25.12 | $34.67 | |
MVP Health Care
| Facility | $21.88 | $21.88 | $21.88 | |
United
| Facility | $7.76 | $7.76 | $7.76 | |
United
| Professional | $9.12 | $19.05 | $58.88 |