| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.61 | $9.61 | $9.61 | |
BCBS
| Facility | $42.72 | $86.55 | $259.76 | |
BCBS
| Professional | $6.80 | $6.80 | $6.80 | |
Cigna
| Facility | $9.36 | $9.36 | $104.30 | |
Cigna
| Professional | $3.77 | $6.20 | $8.56 | |
MVP Health Care
| Facility | $9.36 | $9.36 | $104.30 | |
MVP Health Care
| Professional | $3.77 | $6.20 | $8.56 | |
United
| Professional | $3.36 | $3.36 | $10.78 |