| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.91 | $42.98 | $49.59 | |
BCBS
| Facility | $34.09 | $88.23 | $155.00 | |
BCBS
| Professional | $71.25 | $71.25 | $71.25 | |
Cigna
| Facility | $45.70 | $45.70 | $64.73 | |
Cigna
| Professional | $33.36 | $33.36 | $87.38 | |
MVP Health Care
| Facility | $45.70 | $45.70 | $64.73 | |
MVP Health Care
| Professional | $33.36 | $41.32 | $87.38 | |
United
| Professional | $29.29 | $52.17 | $101.82 |