| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $21.88 | |
Aetna
| Professional | $13.01 | $21.88 | $92.00 | |
BCBS
| Professional | $23.64 | $23.64 | $56.50 | |
Cigna
| Professional | $13.99 | $13.99 | $56.50 | |
MVP Health Care
| Professional | $13.99 | $13.99 | $56.50 | |
United
| Professional | $15.09 | $22.92 | $64.22 |