| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.00 | $180.00 | $180.00 | |
Aetna
| Professional | $180.00 | $180.00 | $185.18 | |
BCBS
| Facility | $469.94 | $469.94 | $601.87 | |
BCBS
| Professional | $109.69 | $123.72 | $339.50 | |
Cigna
| Professional | $78.91 | $78.91 | $339.50 | |
MVP Health Care
| Professional | $78.91 | $78.91 | $339.50 | |
United
| Professional | $192.37 | $214.57 | $416.70 |