| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.99 | $161.19 | $168.98 | |
BCBS
| Facility | 26 | $310.83 | $310.83 | $310.83 |
BCBS
| Professional | $165.92 | $195.58 | $561.03 | |
Cigna
| Professional | $178.91 | $192.31 | $561.03 | |
MVP Health Care
| Professional | $178.91 | $192.31 | $561.03 | |
United
| Professional | $130.21 | $178.72 | $596.79 |