| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $33.11 | $54.95 | |
BCBS
| Facility | $19.95 | $245.47 | $562.34 | |
BCBS
| Professional | $38.90 | $38.90 | $38.90 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $21.88 | $38.90 | $50.12 | |
MVP Health Care
| Facility | $33.88 | $33.88 | $33.88 | |
United
| Facility | $12.02 | $12.02 | $12.02 | |
United
| Professional | $14.79 | $27.54 | $85.11 |