| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.93 | $58.93 | $63.29 | |
BCBS
| Facility | $394.90 | $394.90 | $453.54 | |
Cigna
| Professional | $58.93 | $58.93 | $58.93 | |
MVP Health Care
| Professional | $58.93 | $58.93 | $58.93 | |
United
| Professional | $57.78 | $57.78 | $133.49 |