| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $177.83 | $177.83 | |
Aetna
| Professional | $144.54 | $165.96 | $223.87 | |
BCBS
| Professional | $190.55 | $190.55 | $562.34 | |
Cigna
| Professional | $186.21 | $213.80 | $354.81 | |
MVP Health Care
| Professional | $190.55 | $223.87 | $562.34 | |
United
| Professional | $199.53 | $229.09 | $426.58 |