| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.04 | $71.04 | $71.04 | |
Aetna
| Professional | $19.98 | $19.98 | $19.98 | |
BCBS
| Facility | $88.82 | $202.95 | $262.02 | |
BCBS
| Professional | $14.80 | $14.80 | $14.80 | |
Cigna
| Facility | $20.05 | $20.05 | $20.05 | |
Cigna
| Professional | $8.23 | $13.63 | $18.75 | |
MVP Health Care
| Facility | $20.05 | $20.05 | $20.05 | |
MVP Health Care
| Professional | $8.23 | $13.63 | $18.75 | |
United
| Professional | $7.19 | $7.19 | $22.41 |