| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.02 | $114.57 | $139.72 | |
BCBS
| Facility | 26 | $160.16 | $160.16 | $160.16 |
BCBS
| Professional | $139.29 | $171.00 | $580.11 | |
Cigna
| Professional | $138.36 | $191.64 | $580.11 | |
MVP Health Care
| Professional | $130.69 | $163.03 | $580.11 | |
United
| Professional | $122.06 | $157.27 | $617.09 |