| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.36 | $108.36 | $181.78 | |
BCBS
| Facility | $464.16 | $464.16 | $594.45 | |
Cigna
| Professional | $108.36 | $108.36 | $108.36 | |
MVP Health Care
| Professional | $108.36 | $108.36 | $108.36 | |
United
| Professional | $106.24 | $106.24 | $245.46 |