| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.00 | $63.09 | $65.41 | |
BCBS
| Facility | 26 | $159.13 | $159.13 | $159.13 |
BCBS
| Professional | $80.75 | $80.75 | $254.25 | |
Cigna
| Professional | $74.70 | $87.24 | $254.25 | |
MVP Health Care
| Professional | $74.70 | $87.24 | $254.25 | |
United
| Professional | $61.18 | $91.26 | $270.45 |