| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.09 | $131.52 | $259.95 | |
BCBS
| Facility | $673.32 | $673.32 | $673.32 | |
BCBS
| Professional | $168.12 | $168.12 | $670.94 | |
Cigna
| Facility | $540.96 | $540.96 | $585.87 | |
Cigna
| Professional | $157.74 | $227.07 | $670.94 | |
MVP Health Care
| Facility | $540.96 | $540.96 | $585.87 | |
MVP Health Care
| Professional | $157.74 | $226.52 | $670.94 | |
United
| Professional | $113.34 | $173.88 | $403.74 |