| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $141.25 | |
Aetna
| Professional | $8.91 | $10.96 | $19.05 | |
BCBS
| Facility | $89.13 | $204.17 | $309.03 | |
Cigna
| Facility | $23.44 | $23.44 | $23.44 | |
Cigna
| Professional | $8.32 | $16.22 | $19.95 | |
MVP Health Care
| Facility | $13.80 | $13.80 | $13.80 | |
United
| Facility | $4.90 | $4.90 | $4.90 | |
United
| Professional | $6.03 | $10.00 | $32.36 |