| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.72 | $245.92 | $283.75 | |
BCBS
| Professional | $290.22 | $290.22 | $290.22 | |
Cigna
| Facility | $301.51 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $301.51 | $321.43 | |
MVP Health Care
| Facility | $301.51 | $301.51 | $301.51 | |
MVP Health Care
| Professional | $220.10 | $301.51 | $321.43 | |
United
| Professional | $160.78 | $321.58 | $582.00 |