| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $2,754.23 | $2,754.23 | |
Aetna
| Professional | $57.54 | $120.23 | $316.23 | |
Aetna
| Professional | 50 | $131.83 | $398.11 | $851.14 |
BCBS
| Facility | $870.96 | $870.96 | $933.25 | |
BCBS
| Professional | $104.71 | $123.03 | $363.08 | |
Cigna
| Professional | $70.79 | $114.82 | $177.83 | |
MVP Health Care
| Professional | $97.72 | $128.82 | $165.96 | |
United
| Professional | $83.18 | $131.83 | $229.09 |