| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.20 | $131.83 | $208.93 | |
BCBS
| Facility | 26 | $154.88 | $154.88 | $154.88 |
BCBS
| Professional | $158.49 | $158.49 | $436.52 | |
Cigna
| Professional | $154.88 | $295.12 | $467.74 | |
MVP Health Care
| Professional | $128.82 | $128.82 | $436.52 | |
United
| Professional | $120.23 | $229.09 | $758.58 |