| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $147.91 | $245.47 | |
BCBS
| Facility | 26 | $346.74 | $346.74 | $346.74 |
BCBS
| Professional | $173.78 | $173.78 | $512.86 | |
Cigna
| Professional | $173.78 | $346.74 | $562.34 | |
MVP Health Care
| Professional | $151.36 | $151.36 | $512.86 | |
United
| Professional | $134.90 | $263.03 | $794.33 |