| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.58 | $226.18 | $364.56 | |
BCBS
| Facility | $230.47 | $230.47 | $552.11 | |
Cigna
| Facility | $192.06 | $231.61 | $386.02 | |
Cigna
| Professional | $203.58 | $203.58 | $203.58 | |
MVP Health Care
| Facility | $192.06 | $231.61 | $386.02 | |
MVP Health Care
| Professional | $203.58 | $203.58 | $203.58 | |
United
| Professional | $193.40 | $215.79 | $313.17 |