| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $371.54 | $741.31 | |
Aetna
| Professional | $72.44 | $131.83 | $151.36 | |
BCBS
| Facility | $190.55 | $316.23 | $602.56 | |
BCBS
| Professional | $141.25 | $141.25 | $141.25 | |
Cigna
| Facility | $234.42 | $234.42 | $239.88 | |
Cigna
| Professional | $89.13 | $199.53 | $263.03 | |
MVP Health Care
| Facility | $141.25 | $141.25 | $141.25 | |
MVP Health Care
| Professional | $141.25 | $141.25 | $173.78 | |
United
| Professional | $61.66 | $144.54 | $346.74 |