| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $141.25 | $234.42 | |
BCBS
| Facility | 26 | $331.13 | $331.13 | $331.13 |
BCBS
| Professional | $162.18 | $162.18 | $478.63 | |
Cigna
| Professional | $165.96 | $323.59 | $537.03 | |
MVP Health Care
| Professional | $147.91 | $147.91 | $478.63 | |
United
| Professional | $128.82 | $251.19 | $794.33 |