| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $44.67 | $44.67 | $44.67 | |
BCBS
| Facility | $24.55 | $53.70 | $66.07 | |
Cigna
| Professional | $23.44 | $45.71 | $64.57 | |
MVP Health Care
| Facility | $45.71 | $45.71 | $45.71 | |
United
| Facility | $15.85 | $15.85 | $15.85 | |
United
| Professional | $28.18 | $45.71 | $93.33 |