| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $676.08 | $676.08 | |
Aetna
| Professional | $54.95 | $104.71 | $257.04 | |
Aetna
| Professional | 50 | $158.49 | $186.21 | $436.52 |
BCBS
| Professional | $83.18 | $100.00 | $295.12 | |
Cigna
| Professional | $60.26 | $102.33 | $147.91 | |
MVP Health Care
| Professional | $81.28 | $107.15 | $134.90 | |
United
| Professional | $75.86 | $97.72 | $186.21 |