| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.25 | $186.16 | $190.92 | |
BCBS
| Facility | 26 | $106.07 | $106.07 | $106.07 |
BCBS
| Professional | $143.32 | $172.60 | $587.13 | |
Cigna
| Professional | $88.79 | $164.61 | $587.13 | |
MVP Health Care
| Professional | $88.79 | $105.00 | $587.13 | |
United
| Professional | $95.10 | $135.19 | $497.03 |