| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $652.04 | $1,155.04 | $4,366.29 | |
BCBS
| Professional | $993.73 | $993.73 | $993.73 | |
Cigna
| Facility | $1,136.55 | $1,136.55 | $1,136.55 | |
Cigna
| Professional | $1,498.36 | $1,695.53 | $1,872.96 | |
MVP Health Care
| Facility | $1,136.55 | $1,136.55 | $1,136.55 | |
MVP Health Care
| Professional | $544.91 | $1,498.36 | $1,872.96 | |
United
| Professional | $296.61 | $784.57 | $1,568.88 |