| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $247.50 | $247.50 | $247.50 | |
BCBS
| Professional | $1,031.25 | $1,031.25 | $1,031.25 | |
Cigna
| Facility | $260.00 | $260.00 | $260.00 | |
Cigna
| Professional | $205.93 | $205.93 | $205.93 | |
MVP Health Care
| Facility | $260.00 | $260.00 | $260.00 |