| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.08 | $42.08 | $42.08 | |
Aetna
| Professional | $6.40 | $6.40 | $6.40 | |
BCBS
| Facility | $28.44 | $59.76 | $65.34 | |
Cigna
| Facility | $6.70 | $6.70 | $46.50 | |
Cigna
| Professional | $2.57 | $4.54 | $5.71 | |
MVP Health Care
| Facility | $6.70 | $6.70 | $46.50 | |
MVP Health Care
| Professional | $2.57 | $4.54 | $5.71 | |
United
| Professional | $2.10 | $3.07 | $7.17 |