| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.41 | $160.41 | $160.41 | |
Aetna
| Professional | $15.84 | $53.94 | $408.00 | |
BCBS
| Facility | $93.76 | $108.55 | $150.30 | |
BCBS
| Professional | $32.38 | $35.38 | $124.73 | |
Cigna
| Professional | $32.76 | $81.30 | $117.60 | |
MVP Health Care
| Professional | $32.76 | $81.30 | $117.60 | |
United
| Professional | $32.34 | $40.07 | $74.52 |