| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.44 | $179.44 | $179.44 | |
BCBS
| Facility | $921.68 | $921.68 | $921.68 | |
Cigna
| Professional | $191.17 | $263.89 | $836.85 | |
MVP Health Care
| Professional | $191.17 | $263.89 | $836.85 | |
United
| Professional | $152.12 | $192.00 | $457.04 |