| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.33 | $35.33 | $35.33 | |
Aetna
| Professional | $45.23 | $49.75 | $65.58 | |
BCBS
| Facility | $39.54 | $53.93 | $55.68 | |
BCBS
| Professional | $45.23 | $45.23 | $45.23 | |
Cigna
| Professional | $18.52 | $45.23 | $50.75 | |
MVP Health Care
| Professional | $18.52 | $45.23 | $50.75 | |
United
| Professional | $26.59 | $27.57 | $64.20 |