| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $293.79 | $293.79 | $338.99 | |
BCBS
| Professional | $487.08 | $487.08 | $487.08 | |
Cigna
| Facility | $382.03 | $382.03 | $442.50 | |
Cigna
| Professional | $278.88 | $382.03 | $447.99 | |
MVP Health Care
| Facility | $382.03 | $382.03 | $442.50 | |
MVP Health Care
| Professional | $278.88 | $382.03 | $447.99 | |
United
| Professional | $200.24 | $452.45 | $696.01 |