| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.88 | $91.88 | $91.88 | |
BCBS
| Facility | $469.79 | $469.79 | $469.79 | |
Cigna
| Professional | $99.76 | $113.49 | $298.41 | |
MVP Health Care
| Professional | $99.76 | $113.49 | $298.41 | |
United
| Professional | $80.59 | $109.56 | $162.97 |