| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.67 | $201.36 | $232.34 | |
BCBS
| Facility | $167.64 | $167.64 | $167.64 | |
BCBS
| Professional | $333.84 | $333.84 | $333.84 | |
Cigna
| Facility | $216.42 | $216.42 | $303.29 | |
Cigna
| Professional | $157.99 | $216.42 | $244.45 | |
MVP Health Care
| Facility | $216.42 | $216.42 | $303.29 | |
MVP Health Care
| Professional | $157.99 | $216.42 | $244.45 | |
United
| Facility | $153.02 | $153.02 | $193.00 | |
United
| Professional | $137.24 | $244.43 | $477.03 |