| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $269.15 | |
Aetna
| Professional | $8.91 | $10.96 | $19.95 | |
BCBS
| Facility | $89.13 | $109.65 | $204.17 | |
BCBS
| Professional | $14.13 | $14.13 | $14.13 | |
Cigna
| Facility | $19.50 | $125.89 | $125.89 | |
Cigna
| Professional | $8.13 | $13.18 | $18.20 | |
MVP Health Care
| Facility | $11.48 | $11.48 | $11.48 | |
United
| Facility | $4.07 | $4.07 | $4.07 | |
United
| Professional | $5.01 | $10.00 | $30.90 |