| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.17 | $180.89 | $242.26 | |
BCBS
| Professional | $348.33 | $348.33 | $348.33 | |
Cigna
| Facility | $209.52 | $209.52 | $290.14 | |
Cigna
| Professional | $178.09 | $209.52 | $290.14 | |
MVP Health Care
| Facility | $209.52 | $209.52 | $290.14 | |
MVP Health Care
| Professional | $209.52 | $209.52 | $290.14 | |
United
| Professional | $143.19 | $323.33 | $358.00 |