| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $107.15 | |
Aetna
| Professional | $338.84 | $436.52 | $478.63 | |
BCBS
| Facility | $186.21 | $186.21 | $186.21 | |
Cigna
| Facility | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $354.81 | $354.81 | $489.78 | |
MVP Health Care
| Professional | $602.56 | $758.58 | $954.99 | |
United
| Facility | $354.81 | $354.81 | $446.68 | |
United
| Professional | $269.15 | $630.96 | $1,621.81 |