| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $158.49 | $158.49 | |
Aetna
| Professional | $20.89 | $25.12 | $39.81 | |
BCBS
| Facility | $162.18 | $177.83 | $407.38 | |
Cigna
| Facility | $51.29 | $186.21 | $186.21 | |
Cigna
| Professional | $15.85 | $35.48 | $44.67 | |
MVP Health Care
| Facility | $30.90 | $30.90 | $30.90 | |
United
| Facility | $10.72 | $10.72 | $10.72 | |
United
| Professional | $12.88 | $19.95 | $67.61 |