| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $271.33 | $271.33 | $271.33 | |
BCBS
| Professional | $773.25 | $773.25 | $773.25 | |
Cigna
| Facility | $203.00 | $203.00 | $203.00 | |
Cigna
| Professional | $225.73 | $225.73 | $225.73 | |
MVP Health Care
| Facility | $203.00 | $203.00 | $203.00 |