| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $691.83 | $691.83 | $794.33 | |
BCBS
| Facility | $776.25 | $776.25 | $776.25 | |
Cigna
| Facility | $645.65 | $776.25 | $776.25 | |
Cigna
| Professional | $691.83 | $691.83 | $776.25 | |
MVP Health Care
| Professional | $741.31 | $741.31 | $741.31 | |
United
| Professional | $645.65 | $691.83 | $776.25 |