| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.48 | $170.48 | $287.01 | |
BCBS
| Facility | $192.99 | $192.99 | $192.99 | |
Cigna
| Facility | $160.83 | $553.41 | $922.36 | |
Cigna
| Professional | $170.48 | $170.48 | $170.48 | |
MVP Health Care
| Facility | $160.83 | $553.41 | $922.36 | |
MVP Health Care
| Professional | $170.48 | $170.48 | $170.48 | |
United
| Professional | $170.48 | $170.48 | $262.25 |