| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.44 | $141.44 | $175.27 | |
BCBS
| Facility | $83.28 | $167.47 | $455.87 | |
BCBS
| Professional | $234.52 | $234.52 | $234.52 | |
Cigna
| Facility | $175.00 | $175.00 | $175.00 | |
Cigna
| Professional | $127.75 | $223.49 | $238.16 | |
MVP Health Care
| Facility | $175.00 | $175.00 | $175.00 | |
MVP Health Care
| Professional | $127.75 | $223.69 | $238.16 | |
United
| Professional | $100.26 | $171.72 | $335.11 |