| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.78 | $142.78 | $142.78 | |
Aetna
| Professional | $12.22 | $15.73 | $19.98 | |
BCBS
| Facility | $88.82 | $137.41 | $202.95 | |
Cigna
| Facility | $23.64 | $23.64 | $23.64 | |
Cigna
| Professional | $8.23 | $16.52 | $20.65 | |
MVP Health Care
| Facility | $23.64 | $23.64 | $23.64 | |
MVP Health Care
| Professional | $7.23 | $16.52 | $20.65 | |
United
| Professional | $8.48 | $9.61 | $22.41 |