| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $517.89 | $517.89 | $13,783.30 | |
BCBS
| Professional | $2,143.60 | $2,143.60 | $2,143.60 | |
Cigna
| Facility | $3,587.85 | $3,587.85 | $3,587.85 | |
Cigna
| Professional | $2,463.13 | $3,078.92 | $4,816.58 | |
MVP Health Care
| Facility | $3,587.85 | $3,587.85 | $3,587.85 | |
MVP Health Care
| Professional | $1,393.34 | $2,463.13 | $4,816.58 | |
United
| Professional | $361.26 | $936.32 | $4,952.57 |