| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.07 | $40.15 | $180.23 | |
Aetna
| Professional | $12.22 | $15.73 | $19.98 | |
BCBS
| Facility | $88.82 | $109.25 | $202.95 | |
Cigna
| Facility | $28.14 | $28.14 | $28.14 | |
Cigna
| Professional | $8.23 | $18.75 | $24.26 | |
MVP Health Care
| Facility | $28.14 | $28.14 | $28.14 | |
MVP Health Care
| Professional | $8.23 | $18.75 | $24.26 | |
United
| Professional | $9.61 | $10.09 | $23.53 |