| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.40 | $172.40 | $172.40 | |
BCBS
| Facility | $617.37 | $617.37 | $764.92 | |
Cigna
| Professional | $172.40 | $172.40 | $172.40 | |
MVP Health Care
| Professional | $172.40 | $172.40 | $172.40 | |
United
| Professional | $192.68 | $202.82 | $608.46 |