| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.43 | $243.50 | $327.08 | |
BCBS
| Facility | $345.66 | $345.66 | $345.66 | |
Cigna
| Facility | $364.00 | $364.00 | $364.98 | |
Cigna
| Professional | $147.81 | $351.45 | $532.74 | |
MVP Health Care
| Facility | $364.00 | $364.00 | $364.98 | |
MVP Health Care
| Professional | $147.81 | $351.45 | $532.74 | |
United
| Professional | $94.74 | $130.84 | $503.81 |