| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $617.41 | $817.27 | $817.27 | |
BCBS
| Facility | $2,014.21 | $2,014.21 | $2,014.21 | |
Cigna
| Facility | $2,121.10 | $2,121.10 | $2,121.10 | |
MVP Health Care
| Facility | $2,121.10 | $2,121.10 | $2,121.10 |