| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $508.21 | $508.21 | $15,744.20 | |
BCBS
| Professional | $2,448.56 | $2,448.56 | $2,448.56 | |
Cigna
| Facility | $4,098.27 | $4,098.27 | $4,098.27 | |
Cigna
| Professional | $2,813.77 | $3,517.21 | $5,501.77 | |
MVP Health Care
| Facility | $4,098.27 | $4,098.27 | $4,098.27 | |
MVP Health Care
| Professional | $1,500.00 | $2,813.77 | $5,501.77 | |
United
| Professional | $361.26 | $1,069.53 | $5,657.15 |