| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.86 | $18.86 | $18.86 | |
BCBS
| Facility | $83.80 | $156.34 | $192.63 | |
BCBS
| Professional | $12.00 | $12.00 | $12.00 | |
Cigna
| Facility | $18.07 | $18.07 | $164.70 | |
Cigna
| Professional | $7.54 | $12.39 | $17.12 | |
MVP Health Care
| Facility | $18.07 | $18.07 | $164.70 | |
MVP Health Care
| Professional | $7.54 | $12.39 | $17.12 | |
United
| Professional | $4.72 | $9.06 | $21.14 |