| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $85.11 | $165.96 | |
BCBS
| Facility | 26 | $165.96 | $165.96 | $165.96 |
BCBS
| Professional | $446.68 | $446.68 | $446.68 | |
Cigna
| Professional | $58.88 | $95.50 | $229.09 | |
MVP Health Care
| Professional | $91.20 | $95.50 | $128.82 | |
United
| Professional | $93.33 | $117.49 | $245.47 |