| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.60 | $62.39 | $71.98 | |
BCBS
| Facility | $152.69 | $152.69 | $176.79 | |
BCBS
| Professional | $103.45 | $103.45 | $103.45 | |
Cigna
| Facility | $30.60 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $67.41 | $71.77 | |
MVP Health Care
| Facility | $30.60 | $59.92 | $59.92 | |
MVP Health Care
| Professional | $43.74 | $67.98 | $73.63 | |
United
| Professional | $22.26 | $57.59 | $147.82 |