| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $272.70 | $272.70 | $292.93 | |
BCBS
| Facility | $102.13 | $109.71 | $246.20 | |
Cigna
| Professional | $272.70 | $272.70 | $272.70 | |
MVP Health Care
| Professional | $272.70 | $272.70 | $272.70 | |
United
| Professional | $267.37 | $267.37 | $638.69 |