| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $204.61 | $204.61 | $352.67 | |
BCBS
| Facility | $231.64 | $231.64 | $231.64 | |
Cigna
| Facility | $193.03 | $204.61 | $387.24 | |
Cigna
| Professional | $204.61 | $204.61 | $204.61 | |
MVP Health Care
| Facility | $193.03 | $204.61 | $387.24 | |
MVP Health Care
| Professional | $204.61 | $204.61 | $204.61 | |
United
| Professional | $194.38 | $204.61 | $212.79 |