| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.80 | $310.69 | $404.68 | |
Aetna
| Professional | 54 | $233.02 | $257.02 | $303.51 |
BCBS
| Facility | $806.03 | $806.03 | $974.22 | |
BCBS
| Professional | $384.21 | $452.90 | $1,264.99 | |
Cigna
| Professional | $353.22 | $533.80 | $751.53 | |
MVP Health Care
| Professional | $360.05 | $456.12 | $751.53 | |
United
| Professional | $344.99 | $472.02 | $1,372.21 |