| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.38 | $270.37 | $362.11 | |
BCBS
| Professional | $495.98 | $495.98 | $495.98 | |
Cigna
| Facility | $283.73 | $283.73 | $423.43 | |
Cigna
| Professional | $241.17 | $283.73 | $423.43 | |
MVP Health Care
| Facility | $283.73 | $283.73 | $423.43 | |
MVP Health Care
| Professional | $283.73 | $283.73 | $423.43 | |
United
| Professional | $202.32 | $421.12 | $560.72 |