| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $100.00 | $1,190.83 | |
BCBS
| Facility | $681.25 | $681.25 | $681.25 | |
Cigna
| Facility | $309.98 | $309.98 | $717.40 | |
Cigna
| Professional | $415.98 | $415.98 | $415.98 | |
MVP Health Care
| Facility | $309.98 | $309.98 | $717.40 | |
MVP Health Care
| Professional | $120.38 | $120.38 | $415.98 | |
United
| Professional | $80.90 | $185.20 | $833.40 |