| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.98 | $194.98 | $229.09 | |
BCBS
| Facility | $213.80 | $213.80 | $213.80 | |
Cigna
| Facility | $186.21 | $213.80 | $213.80 | |
Cigna
| Professional | $194.98 | $194.98 | $213.80 | |
MVP Health Care
| Professional | $204.17 | $204.17 | $204.17 | |
United
| Professional | $190.55 | $204.17 | $223.87 |