| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $611.41 | $611.41 | $611.41 | |
BCBS
| Facility | $1,176.76 | $1,176.76 | $1,507.06 | |
Cigna
| Professional | $611.41 | $611.41 | $611.41 | |
MVP Health Care
| Professional | $611.41 | $611.41 | $611.41 | |
United
| Professional | $649.16 | $683.34 | $1,578.79 |