| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $229.09 | $323.59 | |
BCBS
| Professional | $323.59 | $323.59 | $323.59 | |
Cigna
| Facility | $251.19 | $251.19 | $295.12 | |
Cigna
| Professional | $186.21 | $186.21 | $269.15 | |
MVP Health Care
| Professional | $316.23 | $389.05 | $537.03 | |
United
| Facility | $199.53 | $251.19 | $426.58 | |
United
| Professional | $138.04 | $302.00 | $831.76 |