| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.42 | $180.86 | $238.41 | |
BCBS
| Facility | $207.69 | $207.69 | $372.11 | |
Cigna
| Facility | $207.69 | $207.69 | $342.28 | |
Cigna
| Professional | $219.62 | $219.62 | $219.62 | |
MVP Health Care
| Facility | $207.69 | $207.69 | $342.28 | |
MVP Health Care
| Professional | $219.62 | $219.62 | $219.62 | |
United
| Professional | $164.42 | $235.16 | $235.16 |