| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $25.70 | $30.20 | |
Aetna
| Professional | $19.95 | $26.92 | $66.07 | |
Aetna
| Professional | 25 | $40.74 | $40.74 | $40.74 |
BCBS
| Professional | $43.65 | $43.65 | $45.71 | |
Cigna
| Professional | $30.20 | $39.81 | $117.49 | |
MVP Health Care
| Professional | $31.62 | $40.74 | $52.48 | |
United
| Professional | $25.70 | $37.15 | $63.10 |