| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.52 | $86.52 | $86.52 | |
BCBS
| Facility | $438.07 | $438.07 | $438.07 | |
Cigna
| Professional | $91.00 | $104.09 | $297.95 | |
MVP Health Care
| Professional | $91.00 | $104.09 | $297.95 | |
United
| Professional | $71.12 | $92.30 | $159.07 |