| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $426.58 | $1,023.29 | |
Aetna
| Professional | $14.13 | $16.98 | $30.90 | |
BCBS
| Facility | $107.15 | $158.49 | $302.00 | |
BCBS
| Professional | $22.39 | $22.39 | $22.39 | |
Cigna
| Facility | $30.20 | $181.97 | $181.97 | |
Cigna
| Professional | $12.30 | $20.42 | $28.18 | |
MVP Health Care
| Facility | $17.78 | $17.78 | $17.78 | |
United
| Facility | $6.31 | $6.31 | $6.31 | |
United
| Professional | $7.76 | $15.85 | $48.98 |