| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $248.96 | $248.96 | $248.96 | |
BCBS
| Facility | 26 | $279.05 | $279.05 | $279.05 |
BCBS
| Professional | $295.33 | $295.33 | $929.92 | |
Cigna
| Professional | $310.68 | $328.03 | $929.92 | |
MVP Health Care
| Professional | $310.68 | $328.03 | $929.92 | |
United
| Professional | $220.81 | $348.69 | $989.19 |