| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.95 | $287.95 | $287.95 | |
Aetna
| Professional | $34.02 | $47.79 | $65.94 | |
BCBS
| Facility | $490.34 | $490.34 | $609.01 | |
BCBS
| Professional | $75.90 | $89.47 | $191.46 | |
Cigna
| Professional | $47.28 | $72.22 | $113.26 | |
MVP Health Care
| Professional | $49.00 | $69.53 | $113.26 | |
United
| Professional | $67.41 | $71.13 | $206.79 |