| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.78 | $123.77 | $311.57 | |
Aetna
| Professional | $13.00 | $45.25 | $336.00 | |
Aetna
| Professional | CQ | $19.44 | $20.44 | $117.00 |
BCBS
| Facility | $97.33 | $112.68 | $150.27 | |
BCBS
| Professional | $28.96 | $30.28 | $99.94 | |
Cigna
| Professional | $29.27 | $84.63 | $116.06 | |
MVP Health Care
| Professional | $29.27 | $84.63 | $116.06 | |
United
| Professional | $26.84 | $35.92 | $59.71 |