| 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 | $202.95 | $302.12 | |
Cigna
| Facility | $23.28 | $23.28 | $23.28 | |
Cigna
| Professional | $8.23 | $16.11 | $20.13 | |
MVP Health Care
| Facility | $23.28 | $23.28 | $23.28 | |
MVP Health Care
| Professional | $8.23 | $16.11 | $20.13 | |
United
| Professional | $8.35 | $9.61 | $22.41 |