| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.07 | $140.77 | $144.87 | |
Aetna
| Professional | 54 | $105.58 | $106.06 | $108.65 |
BCBS
| Facility | $546.41 | $546.41 | $699.81 | |
BCBS
| Professional | $148.85 | $175.47 | $447.14 | |
Cigna
| Professional | $120.27 | $198.63 | $276.16 | |
MVP Health Care
| Professional | $154.07 | $180.77 | $276.16 | |
United
| Professional | $140.69 | $173.46 | $301.70 |