| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $556.27 | $556.27 | $641.85 | |
BCBS
| Professional | $871.56 | $871.56 | $871.56 | |
Cigna
| Facility | $616.27 | $616.27 | $616.27 | |
Cigna
| Professional | $449.88 | $616.27 | $656.98 | |
MVP Health Care
| Facility | $616.27 | $616.27 | $616.27 | |
MVP Health Care
| Professional | $449.88 | $616.27 | $656.98 | |
United
| Professional | $358.30 | $727.43 | $1,316.49 |