| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.54 | $142.54 | $150.46 | |
Aetna
| Professional | $18.92 | $20.03 | $20.03 | |
BCBS
| Facility | $88.99 | $208.65 | $450.68 | |
BCBS
| Professional | $17.76 | $17.76 | $17.76 | |
Cigna
| Facility | $24.08 | $24.08 | $312.70 | |
Cigna
| Professional | $9.94 | $16.52 | $22.83 | |
MVP Health Care
| Facility | $24.08 | $24.08 | $312.70 | |
MVP Health Care
| Professional | $9.94 | $16.52 | $22.83 | |
United
| Professional | $8.63 | $10.06 | $25.78 |