| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.44 | $111.44 | $138.09 | |
BCBS
| Facility | $37.50 | $85.98 | $360.44 | |
BCBS
| Professional | $142.50 | $142.50 | $184.72 | |
Cigna
| Facility | $130.59 | $130.59 | $130.59 | |
Cigna
| Professional | $95.33 | $179.10 | $190.85 | |
MVP Health Care
| Facility | $130.59 | $130.59 | $130.59 | |
MVP Health Care
| Professional | $95.33 | $179.25 | $190.85 | |
United
| Professional | $75.94 | $135.27 | $263.99 |