| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $687.10 | $719.19 | $1,052.08 | |
BCBS
| Facility | $1,347.88 | $1,347.88 | $1,347.88 | |
Cigna
| Facility | $1,364.80 | $1,364.80 | $1,364.80 | |
MVP Health Care
| Facility | $1,364.80 | $1,364.80 | $1,364.80 |