| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.14 | $170.14 | $321.94 | |
Aetna
| Professional | $45.04 | $45.04 | $45.04 | |
BCBS
| Facility | $193.37 | $291.81 | $459.20 | |
BCBS
| Professional | $31.86 | $31.86 | $31.86 | |
Cigna
| Facility | $43.21 | $43.21 | $203.70 | |
Cigna
| Professional | $17.82 | $29.74 | $40.77 | |
MVP Health Care
| Facility | $43.21 | $43.21 | $203.70 | |
MVP Health Care
| Professional | $17.82 | $29.74 | $40.77 | |
United
| Professional | $15.49 | $22.61 | $69.95 |