| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.51 | $29.98 | $29.98 | |
BCBS
| Facility | $150.32 | $150.32 | $192.50 | |
BCBS
| Professional | $35.89 | $35.89 | $35.89 | |
Cigna
| Facility | $22.51 | $26.66 | $26.66 | |
Cigna
| Professional | $22.51 | $22.66 | $27.46 | |
MVP Health Care
| Facility | $22.51 | $26.66 | $26.66 | |
MVP Health Care
| Professional | $22.51 | $25.94 | $27.46 | |
United
| Professional | $14.76 | $26.99 | $51.29 |