| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.39 | $112.39 | $112.39 | |
BCBS
| Facility | $1,095.55 | $1,095.55 | $1,145.42 | |
Cigna
| Facility | $164.21 | $164.21 | $164.21 | |
Cigna
| Professional | $44.58 | $104.53 | $140.94 | |
MVP Health Care
| Facility | $164.21 | $164.21 | $164.21 | |
MVP Health Care
| Professional | $44.58 | $104.53 | $140.94 | |
United
| Professional | $54.38 | $58.87 | $350.00 |