| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.92 | $191.92 | $211.11 | |
BCBS
| Facility | $150.90 | $156.00 | $161.99 | |
Cigna
| Facility | $204.05 | $204.05 | $276.06 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
MVP Health Care
| Facility | $204.05 | $204.05 | $276.06 | |
MVP Health Care
| Professional | $188.55 | $188.55 | $188.55 | |
United
| Professional | $159.93 | $202.02 | $202.02 |