| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.29 | $78.29 | $78.29 | |
BCBS
| Facility | $409.53 | $409.53 | $409.53 | |
Cigna
| Professional | $96.87 | $109.11 | $290.97 | |
MVP Health Care
| Professional | $96.87 | $109.11 | $290.97 | |
United
| Professional | $70.58 | $106.64 | $158.91 |