| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $158.49 | $162.18 | |
BCBS
| Facility | $229.09 | $229.09 | $234.42 | |
Cigna
| Facility | $263.03 | $263.03 | $281.84 | |
Cigna
| Professional | $169.82 | $177.83 | $380.19 | |
MVP Health Care
| Facility | $169.82 | $169.82 | $169.82 | |
MVP Health Care
| Professional | $128.82 | $169.82 | $169.82 | |
United
| Professional | $74.13 | $128.82 | $389.05 |