| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.25 | $26.25 | $87.56 | |
Aetna
| Professional | $22.45 | $56.36 | $121.31 | |
BCBS
| Facility | $425.92 | $425.92 | $460.14 | |
BCBS
| Professional | $93.80 | $110.56 | $220.90 | |
Cigna
| Professional | $26.39 | $67.81 | $153.04 | |
MVP Health Care
| Professional | $26.39 | $77.68 | $151.52 | |
United
| Professional | $72.00 | $111.76 | $271.13 |