| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.71 | $121.71 | $133.88 | |
BCBS
| Facility | $212.56 | $272.22 | $317.83 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 | |
MVP Health Care
| Professional | $119.90 | $119.90 | $119.90 |