| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $8.91 | $22.91 | $28.18 | |
BCBS
| Facility | $85.11 | $107.15 | $173.78 | |
BCBS
| Professional | $34.67 | $34.67 | $34.67 | |
Cigna
| Facility | $48.98 | $48.98 | $48.98 | |
Cigna
| Professional | $14.45 | $33.11 | $42.66 | |
MVP Health Care
| Facility | $29.51 | $29.51 | $29.51 | |
MVP Health Care
| Professional | $28.18 | $29.51 | $29.51 | |
United
| Professional | $8.32 | $19.05 | $67.61 |