| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $190.55 | $194.98 | |
BCBS
| Facility | $346.74 | $346.74 | $346.74 | |
Cigna
| Facility | $338.84 | $398.11 | $398.11 | |
Cigna
| Professional | $199.53 | $380.19 | $501.19 | |
MVP Health Care
| Facility | $199.53 | $199.53 | $199.53 | |
MVP Health Care
| Professional | $199.53 | $199.53 | $275.42 | |
United
| Professional | $87.10 | $275.42 | $549.54 |