| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $46.77 | $46.77 | |
Aetna
| Professional | $23.99 | $32.36 | $40.74 | |
BCBS
| Facility | $26.30 | $27.54 | $134.90 | |
BCBS
| Professional | $46.77 | $46.77 | $46.77 | |
Cigna
| Facility | $36.31 | $36.31 | $36.31 | |
Cigna
| Professional | $26.92 | $26.92 | $36.31 | |
MVP Health Care
| Professional | $44.67 | $53.70 | $72.44 | |
United
| Facility | $26.92 | $26.92 | $33.88 | |
United
| Professional | $19.95 | $41.69 | $120.23 |