| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.49 | $209.20 | $228.05 | |
BCBS
| Facility | 26 | $333.11 | $333.11 | $333.11 |
BCBS
| Professional | $163.92 | $187.60 | $479.51 | |
Cigna
| Professional | $164.27 | $282.67 | $479.51 | |
MVP Health Care
| Professional | $164.27 | $282.67 | $479.51 | |
United
| Professional | $129.36 | $261.88 | $610.20 |