| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $167.77 | $167.77 | $193.58 | |
BCBS
| Facility | $318.05 | $318.05 | $368.20 | |
Cigna
| Facility | $212.98 | $212.98 | $212.98 | |
Cigna
| Professional | $155.47 | $280.24 | $298.63 | |
MVP Health Care
| Facility | $212.98 | $212.98 | $212.98 | |
MVP Health Care
| Professional | $155.47 | $280.48 | $298.63 | |
United
| Professional | $118.91 | $203.65 | $397.44 |