| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Aetna
| Professional | $173.78 | $223.87 | $263.03 | |
BCBS
| Facility | $602.56 | $602.56 | $616.60 | |
Cigna
| Facility | $457.09 | $691.83 | $691.83 | |
Cigna
| Professional | $275.42 | $275.42 | $616.60 | |
MVP Health Care
| Facility | $275.42 | $275.42 | $275.42 | |
MVP Health Care
| Professional | $275.42 | $275.42 | $275.42 | |
United
| Professional | $120.23 | $275.42 | $630.96 |