| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.84 | $237.57 | $364.84 | |
BCBS
| Facility | $242.08 | $242.08 | $242.08 | |
Cigna
| Facility | $201.74 | $237.63 | $396.05 | |
Cigna
| Professional | $213.84 | $213.84 | $213.84 | |
MVP Health Care
| Facility | $201.74 | $237.63 | $396.05 | |
MVP Health Care
| Professional | $213.84 | $213.84 | $213.84 | |
United
| Professional | $203.15 | $213.84 | $328.95 |