| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.81 | $150.81 | $186.86 | |
BCBS
| Facility | $252.87 | $252.87 | $292.72 | |
BCBS
| Professional | $250.02 | $250.02 | $250.02 | |
Cigna
| Facility | $176.75 | $176.75 | $180.09 | |
Cigna
| Professional | $129.03 | $129.03 | $188.42 | |
MVP Health Care
| Facility | $176.75 | $176.75 | $180.09 | |
MVP Health Care
| Professional | $129.03 | $176.75 | $188.42 | |
United
| Professional | $102.78 | $183.06 | $357.26 |