| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $416.87 | $416.87 | |
Aetna
| Professional | $416.87 | $416.87 | $549.54 | |
BCBS
| Facility | $416.87 | $489.78 | $575.44 | |
Cigna
| Professional | $416.87 | $416.87 | $416.87 | |
MVP Health Care
| Facility | $416.87 | $416.87 | $416.87 | |
MVP Health Care
| Professional | $416.87 | $416.87 | $416.87 | |
United
| Professional | $181.97 | $263.03 | $954.99 |