| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.67 | $67.12 | $379.00 | |
BCBS
| Facility | 26 | $166.56 | $166.56 | $166.56 |
BCBS
| Professional | $93.28 | $93.28 | $109.95 | |
Cigna
| Professional | $93.67 | $105.14 | $297.01 | |
MVP Health Care
| Professional | $84.97 | $104.22 | $297.01 | |
United
| Professional | $70.15 | $96.09 | $171.92 |