| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.10 | $18.10 | $18.10 | |
Aetna
| Professional | $20.00 | $22.00 | $29.00 | |
BCBS
| Facility | $37.57 | $53.23 | $87.10 | |
Cigna
| Facility | $50.29 | $50.29 | $50.29 | |
Cigna
| Professional | $22.10 | $22.10 | $22.10 | |
MVP Health Care
| Facility | $50.29 | $50.29 | $50.29 | |
MVP Health Care
| Professional | $22.10 | $22.10 | $22.10 | |
United
| Professional | $20.53 | $23.24 | $26.37 |