| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.72 | $195.72 | $208.64 | |
BCBS
| Facility | 26 | $192.02 | $192.02 | $192.02 |
BCBS
| Professional | $283.63 | $283.63 | $1,002.68 | |
Cigna
| Professional | $238.69 | $333.38 | $1,002.68 | |
MVP Health Care
| Professional | $238.69 | $275.70 | $1,002.68 | |
United
| Professional | $168.89 | $292.43 | $547.61 |