| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $123.03 | $257.04 | |
Aetna
| Professional | $64.57 | $104.71 | $257.04 | |
Aetna
| Professional | 25 | $74.13 | $128.82 | $281.84 |
BCBS
| Professional | $144.54 | $169.82 | $169.82 | |
Cigna
| Facility | $186.21 | $186.21 | $186.21 | |
Cigna
| Professional | $85.11 | $123.03 | $323.59 | |
MVP Health Care
| Professional | $109.65 | $147.91 | $199.53 | |
United
| Professional | $75.86 | $109.65 | $204.17 |