| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.06 | $221.75 | $255.86 | |
BCBS
| Professional | $367.64 | $367.64 | $367.64 | |
Cigna
| Facility | $229.50 | $229.50 | $333.99 | |
Cigna
| Professional | $167.54 | $229.50 | $244.66 | |
MVP Health Care
| Facility | $229.50 | $229.50 | $333.99 | |
MVP Health Care
| Professional | $167.54 | $229.50 | $244.66 | |
United
| Professional | $151.13 | $269.18 | $525.33 |