| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.87 | $175.87 | $188.01 | |
BCBS
| Facility | 26 | $142.19 | $142.19 | $142.19 |
Cigna
| Professional | $192.82 | $325.44 | $988.22 | |
MVP Health Care
| Professional | $192.82 | $325.44 | $988.22 | |
United
| Professional | $153.68 | $267.38 | $1,051.20 |