| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.00 | $175.00 | $1,767.16 | |
BCBS
| Facility | $761.24 | $761.24 | $776.26 | |
Cigna
| Facility | $460.00 | $460.00 | $815.74 | |
Cigna
| Professional | $617.88 | $617.88 | $617.88 | |
MVP Health Care
| Facility | $460.00 | $460.00 | $815.74 | |
MVP Health Care
| Professional | $178.64 | $178.64 | $617.88 | |
United
| Professional | $120.05 | $274.83 | $1,236.74 |