| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.59 | $44.59 | $111.52 | |
BCBS
| Facility | $129.01 | $129.01 | $165.22 | |
Cigna
| Professional | $343.67 | $343.67 | $343.67 | |
MVP Health Care
| Professional | $343.67 | $343.67 | $343.67 |