| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.65 | $63.65 | $63.65 | |
Aetna
| Professional | $46.06 | $63.65 | $336.00 | |
BCBS
| Professional | $59.53 | $70.17 | $198.75 | |
Cigna
| Professional | $48.80 | $48.80 | $198.75 | |
MVP Health Care
| Professional | $48.80 | $48.80 | $198.75 | |
United
| Professional | $34.63 | $79.03 | $229.75 |