| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.51 | $50.57 | $78.81 | |
BCBS
| Facility | 26 | $160.22 | $160.22 | $160.22 |
BCBS
| Professional | $65.34 | $77.03 | $209.02 | |
Cigna
| Professional | $66.11 | $77.13 | $209.02 | |
MVP Health Care
| Professional | $59.13 | $73.14 | $209.02 | |
United
| Professional | $51.87 | $73.98 | $129.88 |