| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $524.81 | $524.81 | |
Aetna
| Professional | $72.44 | $120.23 | $128.82 | |
BCBS
| Facility | $158.49 | $169.82 | $218.78 | |
Cigna
| Facility | $190.55 | $190.55 | $213.80 | |
Cigna
| Professional | $83.18 | $186.21 | $263.03 | |
MVP Health Care
| Facility | $128.82 | $128.82 | $128.82 | |
MVP Health Care
| Professional | $128.82 | $128.82 | $173.78 | |
United
| Professional | $56.23 | $144.54 | $346.74 |