| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.87 | $133.11 | $623.00 | |
BCBS
| Facility | 26 | $336.37 | $336.37 | $336.37 |
BCBS
| Professional | $152.69 | $179.99 | $500.37 | |
Cigna
| Professional | $158.33 | $174.39 | $500.37 | |
MVP Health Care
| Professional | $140.63 | $167.44 | $500.37 | |
United
| Professional | $123.43 | $158.47 | $273.27 |