| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $248.71 | $287.08 | $287.08 | |
BCBS
| Facility | $1,092.19 | $1,092.19 | $1,092.19 | |
Cigna
| Facility | $1,150.20 | $1,150.20 | $1,150.20 | |
MVP Health Care
| Facility | $1,150.20 | $1,150.20 | $1,150.20 |