| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $346.74 | $562.34 | |
Aetna
| Professional | $52.48 | $63.10 | $66.07 | |
BCBS
| Facility | $354.81 | $354.81 | $354.81 | |
Cigna
| Facility | $109.65 | $407.38 | $407.38 | |
Cigna
| Professional | $64.57 | $123.03 | $162.18 | |
MVP Health Care
| Facility | $66.07 | $66.07 | $66.07 | |
MVP Health Care
| Professional | $66.07 | $66.07 | $89.13 | |
United
| Professional | $28.84 | $89.13 | $177.83 |