| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $151.36 | |
Aetna
| Professional | $7.08 | $8.91 | $38.90 | |
BCBS
| Facility | $72.44 | $79.43 | $158.49 | |
BCBS
| Professional | $11.75 | $11.75 | $11.75 | |
Cigna
| Facility | $15.85 | $89.13 | $89.13 | |
Cigna
| Professional | $6.46 | $10.72 | $15.14 | |
MVP Health Care
| Facility | $9.33 | $9.33 | $9.33 | |
United
| Facility | $3.31 | $3.31 | $3.31 | |
United
| Professional | $4.07 | $8.32 | $25.70 |