| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.98 | $19.98 | $19.98 | |
BCBS
| Facility | $88.82 | $194.36 | $202.95 | |
BCBS
| Professional | $16.00 | $16.00 | $16.00 | |
Cigna
| Facility | $26.78 | $26.78 | $26.78 | |
Cigna
| Professional | $8.23 | $18.17 | $22.72 | |
MVP Health Care
| Facility | $26.78 | $26.78 | $26.78 | |
MVP Health Care
| Professional | $8.23 | $18.17 | $22.72 | |
United
| Professional | $9.60 | $9.61 | $22.41 |