| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.79 | $237.79 | $237.79 | |
Aetna
| Professional | $53.54 | $101.79 | $499.00 | |
BCBS
| Facility | $210.93 | $464.51 | $999.21 | |
BCBS
| Professional | $105.38 | $105.38 | $105.38 | |
Cigna
| Facility | $160.35 | $160.35 | $160.35 | |
Cigna
| Professional | $58.99 | $143.52 | $214.88 | |
MVP Health Care
| Facility | $160.35 | $160.35 | $160.35 | |
MVP Health Care
| Professional | $58.99 | $143.52 | $214.88 | |
United
| Professional | $41.85 | $110.74 | $221.34 |