| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.62 | $136.62 | $136.62 | |
BCBS
| Facility | $353.97 | $353.97 | $370.13 | |
Cigna
| Facility | $159.88 | $159.88 | $366.80 | |
Cigna
| Professional | $55.90 | $109.86 | $137.32 | |
MVP Health Care
| Facility | $159.88 | $159.88 | $366.80 | |
MVP Health Care
| Professional | $55.90 | $109.86 | $137.32 | |
United
| Professional | $57.31 | $66.11 | $154.25 |