| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $292.60 | $292.60 | $292.60 | |
BCBS
| Facility | $754.82 | $754.82 | $754.82 | |
Cigna
| Facility | $794.90 | $794.90 | $1,205.09 | |
MVP Health Care
| Facility | $794.90 | $794.90 | $1,205.09 | |
MVP Health Care
| Professional | $468.00 | $468.00 | $468.00 | |
United
| Professional | $314.50 | $432.00 | $1,663.49 |