| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $205.67 | $253.36 | $253.36 | |
BCBS
| Facility | $498.19 | $498.19 | $538.22 | |
Cigna
| Professional | $253.36 | $253.36 | $253.36 | |
MVP Health Care
| Professional | $253.36 | $253.36 | $253.36 | |
United
| Professional | $248.39 | $248.39 | $745.17 |