| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.71 | $82.71 | $95.68 | |
Aetna
| Professional | $71.75 | $87.64 | $110.33 | |
BCBS
| Facility | $525.00 | $525.00 | $525.00 | |
Cigna
| Professional | $30.00 | $50.00 | $121.86 | |
MVP Health Care
| Professional | $30.00 | $50.22 | $143.41 | |
United
| Professional | $111.26 | $125.66 | $378.41 |