| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.03 | $325.63 | $377.84 | |
Aetna
| Professional | $24.82 | $43.96 | $52.64 | |
BCBS
| Facility | $122.76 | $179.93 | $288.20 | |
BCBS
| Professional | $43.33 | $43.33 | $49.59 | |
Cigna
| Facility | $58.74 | $58.74 | $171.60 | |
Cigna
| Professional | $22.98 | $54.63 | $87.57 | |
MVP Health Care
| Facility | $58.74 | $58.74 | $171.60 | |
MVP Health Care
| Professional | $22.98 | $54.63 | $87.57 | |
United
| Professional | $15.33 | $49.13 | $157.91 |