| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.97 | $413.10 | $480.56 | |
Aetna
| Professional | $69.37 | $116.07 | $164.78 | |
BCBS
| Facility | $80.56 | $356.51 | $742.92 | |
BCBS
| Professional | $210.25 | $255.28 | $779.28 | |
Cigna
| Professional | $60.99 | $122.25 | $328.09 | |
MVP Health Care
| Professional | $82.44 | $148.60 | $328.09 | |
United
| Professional | $113.75 | $196.13 | $452.74 |