| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.94 | $155.40 | $155.40 | |
BCBS
| Professional | $628.50 | $628.50 | $628.50 | |
Cigna
| Professional | $163.72 | $218.37 | $394.77 | |
MVP Health Care
| Professional | $174.55 | $219.90 | $628.50 | |
United
| Professional | $136.65 | $176.93 | $514.35 |