| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $147.91 | $208.93 | |
BCBS
| Facility | $537.03 | $676.08 | $794.33 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $162.18 | $199.53 | $616.60 | |
MVP Health Care
| Professional | $616.60 | $616.60 | $616.60 | |
United
| Professional | $120.23 | $173.78 | $588.84 |