| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $204.17 | |
Aetna
| Professional | $23.99 | $32.36 | $42.66 | |
BCBS
| Facility | $489.78 | $489.78 | $512.86 | |
Cigna
| Facility | $58.88 | $58.88 | $58.88 | |
Cigna
| Professional | $22.91 | $51.29 | $72.44 | |
MVP Health Care
| Facility | $35.48 | $35.48 | $35.48 | |
MVP Health Care
| Professional | $35.48 | $35.48 | $47.86 | |
United
| Professional | $15.49 | $47.86 | $95.50 |