| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.40 | $71.40 | $119.78 | |
BCBS
| Facility | $109.40 | $109.40 | $109.40 | |
Cigna
| Professional | $71.40 | $71.40 | $71.40 | |
MVP Health Care
| Professional | $71.40 | $71.40 | $71.40 | |
United
| Professional | $63.00 | $79.80 | $184.37 |