| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.11 | $20.11 | $20.11 | |
BCBS
| Facility | $89.38 | $119.89 | $204.67 | |
BCBS
| Professional | $14.23 | $14.23 | $14.23 | |
Cigna
| Facility | $19.29 | $19.29 | $126.30 | |
Cigna
| Professional | $8.06 | $13.22 | $18.35 | |
MVP Health Care
| Facility | $19.29 | $19.29 | $126.30 | |
MVP Health Care
| Professional | $8.06 | $13.22 | $18.35 | |
United
| Professional | $6.92 | $9.66 | $22.54 |