| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.62 | $17.62 | $29.96 | |
BCBS
| Facility | $19.94 | $19.94 | $19.94 | |
Cigna
| Facility | $16.62 | $19.80 | $33.02 | |
Cigna
| Professional | $17.62 | $17.62 | $17.62 | |
MVP Health Care
| Facility | $16.62 | $19.80 | $33.02 | |
MVP Health Care
| Professional | $17.62 | $17.62 | $17.62 | |
United
| Professional | $16.73 | $17.62 | $27.11 |