| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $512.86 | $707.95 | $891.25 | |
BCBS
| Facility | $1,096.48 | $1,096.48 | $1,096.48 | |
Cigna
| Facility | $1,202.26 | $1,258.93 | $1,258.93 | |
Cigna
| Professional | $724.44 | $724.44 | $724.44 | |
MVP Health Care
| Facility | $724.44 | $724.44 | $724.44 | |
MVP Health Care
| Professional | $724.44 | $724.44 | $724.44 | |
United
| Professional | $316.23 | $436.52 | $1,659.59 |