| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.87 | $44.87 | $44.87 | |
BCBS
| Facility | $249.24 | $249.24 | $249.24 | |
Cigna
| Professional | $54.52 | $61.05 | $167.44 | |
MVP Health Care
| Professional | $54.52 | $61.05 | $167.44 | |
United
| Professional | $41.72 | $66.16 | $91.45 |