| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.02 | $122.02 | $122.02 | |
Aetna
| Professional | $101.65 | $122.02 | $122.02 | |
BCBS
| Professional | $130.74 | $154.11 | $377.04 | |
Cigna
| Professional | $82.95 | $149.19 | $377.04 | |
MVP Health Care
| Professional | $122.72 | $149.19 | $245.40 | |
United
| Professional | $154.13 | $163.03 | $237.60 |