| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $2,089.30 | $2,089.30 | |
Aetna
| Professional | $53.70 | $93.33 | $223.87 | |
Aetna
| Professional | 50 | $288.40 | $489.78 | $501.19 |
BCBS
| Professional | $199.53 | $199.53 | $331.13 | |
Cigna
| Professional | $60.26 | $100.00 | $169.82 | |
MVP Health Care
| Professional | $91.20 | $123.03 | $151.36 | |
United
| Professional | $61.66 | $120.23 | $208.93 |